- MVP Health Care (Schenectady, NY)
- …**Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment, planning, ... The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. + Service Authorization & Review: Conduct prospective,… more
- New York State Civil Service (Albany, NY)
- …and Management. The incumbent will work under the direction of the Assistant Bureau Director . Specific duties may include, but are not limited to: . Extract, clean, ... those for quality measurement, billing, external survey projects, service enrollment, Medicaid utilization , and other routine or ad-hoc reporting as assigned. . Use… more
- Humana (Albany, NY)
- …the Regional Vice President of Health Services (RVP) and Health Services Director (HSD). This position focuses on enabling connections with providers, supporting ... Identify opportunities for new clinical program initiatives by assessing cost and utilization drivers, inclusive of a chronic condition focus. + Support facility… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …consistent and quality health care services. Examples may include Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
- Nuvance Health (Rhinebeck, NY)
- …on the delivery of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a safe and timely discharge ... satisfaction, safety, length of stay management, or outcomes to the department director and/or appropriate key stakeholder. 17. Functions as a resource for… more
- Molina Healthcare (Syracuse, NY)
- …of IT Project accounting in project management tools. Works with Program Director on vendor management. + Proactively identifying and mitigating risks that could ... leadership with knowledge of foundational Health Insurance Operations; particularly Utilization Management, Care Management, and Clinical Operations + Ability to… more
- MTA (New York, NY)
- …$108,573 Level 5 $86,703 - $123,862 DEPT/DIV : Transportation IT Products SUPERVISOR : Director , EAM Applications LOCATION : 2 Broadway, New York, NY 10004 HOURS OF ... Test and debug routines and programs for efficient processing and maximum utilization of computer systems. + Develop and maintain technical and standard… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …to track service activities including visits, referrals, demographics, equipment utilization and Veteran satisfaction. Develops implements and evaluates clinical ... guidelines and protocols to establish appropriate utilization of services. The incumbent participates in direct Veteran,...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
- Red River (Albany, NY)
- **Position Summary:** The Manager, Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... cost center. + Manage field operatives working at a full time, or 100% utilization less time off. + Leverage SKU-based residency services to OEM equipment purchases… more
- Pacific Northwest National Laboratory (Albany, NY)
- …electricity delivery infrastructure; research, development, validation, and effective utilization of renewable energy and efficiency technologies that improve ... manufacturing, applied catalysis, advanced separations, biomass conversions, carbon capture and utilization , and hydrogen production and storage. We employ a systems… more