- Centene Corporation (New York, NY)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... including a fresh perspective on workplace flexibility. **Must be licensed in the state of New York.** **Position Purpose:**...state of New York.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and… more
- Helio Health Inc. (Syracuse, NY)
- …preferred. + Licensed /credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care setting. ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Molina Healthcare (Rochester, NY)
- …stay for requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide ABA/BHT services to Molina ... 3+ years working as Behavior Analyst **Required License, Certification, Association** Licensed , or Board Certified, as a Behavior Analyst **Preferred Education**… more
- CVS Health (Albany, NY)
- …inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered/ Licensed RN, the TOC Coach ensures the member experiences a seamless ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...timelines. - Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
- New York State Civil Service (West Brentwood, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Licensed Master Social Worker - HOURLY (CK Post ATC) Occupational Category Health Care, ... Hill Road, City West Brentwood State NY Zip Code 11717 Duties Description The Licensed Master Social Worker (LMSW) (Hourly) will serve as a member of a… more
- Trinity Health (Syracuse, NY)
- …stakeholder in the emergency room care transition team which includes nurse case managers, utilization review nurses, providers, and etc. whom all work to ensure ... Master's Degree from an accredited graduate school of social work. Licensed to practice as a Licensed Clinical Social Worker (LCSW) OR Licensed Master Social… more
- Molina Healthcare (NY)
- …several Pharmacy Technicians. These roles are 100% Remote and require you be licensed either State or Nationally. These positions will be Monday through Friday 10am ... those involved in formulary management (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such… more
- WellLife Network (South Richmond Hill, NY)
- …location and schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as needed. + Attend ... Licensed Practical Nurse Relief -DDA106 - On-Call Job...medical pre-admission evaluations and screening of prospective clients. + Review and update persons with disabilities pre-admission evaluation within… more
- VCA Animal Hospitals (Bedford Hills, NY)
- …have strong medical skills. **Job Responsibilities** + Interview, hire, train, review , schedule, develop, and discharge technical staff. + Mentor technical staff ... personal career development. At Katonah Bedford we support full technician skill utilization , and our specialty hospital services support the case load and practices… more
- Heritage Ministries (Greenhurst, NY)
- …in the organization's commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure the proper ... utilization of all established insurance providers and financial resources provided to the facility or the residents housed therein. These include but are not limited… more