- Kyndryl (Albany, NY)
- …industry experience is a strong plus, especially in payer/provider operations and care management workflows. **Preferred Qualifications: ** + 15+ years' ... experience in leading healthcare-focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare… more
- University of Rochester (Brighton, NY)
- …continuously improve the tools and methodologies used in program and project management , operational enhancements and resource utilization across the department. ... and ongoing maintenance of processes to support Strategic Portfolio Management (SPM), in support of established governance best practices....looking for a career in higher education or health care , the University of Rochester may offer the perfect… more
- Travelers Insurance Company (Albany, NY)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... **Who Are We?** Taking care of our customers, our communities and each...the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work… more
- Guthrie (Binghamton, NY)
- …five (5) years of experience in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management ... educational activities. a) Incorporates available current evidence based data for clinical care management . b) Demonstrates knowledge of federal, state and… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. **Experience Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case ... patients to determine the appropriateness of the Level of Care , assist in the development of the plan of...a Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- University of Rochester (Rochester, NY)
- …holistic well-being. The Case Manager exercises independent judgment while coordinating with the Director of CARE , other faculty and staff members, and parents ... ODOS teams and events. The Case Manager assists the Director with oversight and administration of the CARE...of Students. Occasional evening and weekend hours. **ESSENTIAL FUNCTIONS** CARE Student Case Management : + Maintain a… more
- Touro University (Hawthorne, NY)
- …duties. Responsibilities + Support to the Group Practice Team with their patient care management . + Perform patient check-in duties including updating patient ... Overview The Patient Care Coordinator in working as part of a...+ Meet at least weekly with CPL or discipline Director to review student compliance. + Manage clinic activity… more
- Trinity Health (Syracuse, NY)
- …finance department to develop and maintain unit/department budget for cost effective, efficient care delivery. + Understanding and utilization of data that will ... nurse that is accountable for applying positive strategies to promote operational management and supports an environment of excellence for the department. Guides… more
- Molina Healthcare (Syracuse, NY)
- …Degree in Behavior Analysis or a related field. **Preferred Experience** Utilization Management experience Health Plan/MCO work experience **Preferred License, ... requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide...Director , and Senior Medical Directors to ensure proper management of the BHT benefit * Up to 30%… more
- Mount Sinai Health System (Brooklyn, NY)
- …Manager I collaborates with multiple professionals to support and coordinate the provision / management of patient care . He or she works closely with the Nursing ... 4. Plans, directs, coordinates, evaluates and facilitates the delivery of nursing care through the creative utilization of professional nursing expertise 5.… more