- Excellus BlueCross BlueShield (Rochester, NY)
- …and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' behavioral health ... + Acts as a resource and liaison to the provider community in conjunction with Provider Relations,...assignments; cross-trained to review various levels of care and/or services . + Participate in committees and lead … more
- New York State Civil Service (NY)
- …Office (SPSRFO). Divisions within the Regional Field Office include the following: Service Access (Front Door and Waiver Services ), Eligibility, Self-Direction, ... team members under the supervision of the front door lead .* Provide individuals/families with information/education on OPWDD...referral service that connects employees with local service providers and support services to address… more
- Evolent (Albany, NY)
- …excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the ... on medical oncology, radiation oncology, and surgical oncology + Provide leadership to overall oncology service line...quality of care for oncology care services + Lead the development of new… more
- Monroe Plan for Medical Care (Olean, NY)
- …state, and local pay equity laws. POSITION SUMMARY The Care Manager will provide Critical Time Intervention (CTI) services to identified and enrolled members. ... traditional case management - working hands-on to coordinate care, advocate for essential services , and help restore stability and dignity to those most at risk. If… more
- New York State Civil Service (Albany, NY)
- …will be responsible for, but not limited to, the following core responsibilities: Lead project oversight and coordination for the Medicaid Independent Assessor ... briefings on IA contract progress, challenges, and outcomes to executive leadership; Provide project oversight and support for additional initiatives such as the… more
- CVS Health (Albany, NY)
- …The CMO provides strategic leadership to ensure that long-term care services are delivered in a person-centered, cost-effective, and clinically sound manner, ... of Health (NYSDOH) regulations. **Key Responsibilities:** Clinical Oversight + Lead development and implementation of clinical protocols and care standards… more
- Hillside Family of Agencies (Batavia, NY)
- …including evenings, as determined by family needs that arise outside of regular service hours. Essential Job functions + Provide informational and educational ... the foundation of any thriving community. Guided by this belief, we provide community-based services , education, and residential treatment to positively impact… more
- Humana (Albany, NY)
- …business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members + ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- New York State Civil Service (NY)
- …will participate and lead multiple committees, present at various in- service training venues including regularly scheduled statewide provider trainings, ... deliver both in-person and virtual training for new staff, provide support and oversight between field office staff and...referral service that connects employees with local service providers and support services to address… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more