- New York State Civil Service (Albany, NY)
- …Navigators are based in counties with high SMI arrests and/or high CPL 730 utilization . They are housed within county government and have a strong understanding of ... ongoing programs are implemented according to OMH guidance and best practices.* Review reports from other states and experts in mental health/criminal justice… more
- Wellpath (Valhalla, NY)
- …care through adherence to policies and procedures for admission and transfer, utilization review , and referrals. + Assumes responsibility and accountability for ... lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …for Case Management. * Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and evaluates alternative ... with 4 years' clinical experience. * Strong medical assessment/record review skills for effective problem-solving and decision-making. * Independent problem… more
- Educational Alliance, Inc. (New York, NY)
- …appropriateness of the current level of treatment, corresponding with LOCADTR and utilization review instruments. + Coordinate integrated services with medical, ... Requirements + Master's Degree in a mental health discipline (MSW, MHC, etc.), and either licensed in the state of New York or working under a limited permit and… more
- Elevance Health (Latham, NY)
- … licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with complex psychiatric/substance ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening… more
- Bowery Residents Committee (Manhattan, NY)
- …assessments, evidence-based treatment plans, and crisis intervention. Gather and review documentation as requested for utilization management reviews ... inpatient detoxification services for homeless men and women. These services are licensed by NYS Office of Alcoholism and Substance Abuse Services and funded… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... for providing competent, evidence-based care to patients with oversight of licensed vocational nurses/nursing assistants as appropriate to the setting. The nurse… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …care for medical inpatients. General Management of Hospitalist Team: Review relevant Internal Medicine Service performance measures, OPPE/FPPE, performance pay, ... HCAP Care transitions Hospital Rating Hospital wide readmissions Mortality Utilization of Clinical Pathways Development of performance improvement priorities and… more
- Catholic Health (Kenmore, NY)
- …(2) years acute care and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or ... RN with BSW, BS Education, or BS in Health related field + Registered Nurse, licensed (unrestricted) in New York State + New York State PRI & Screen certification… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …information and referrals to clients as needed + Assist clients with medication review and understanding directives from Primary Care Physicians (PCPs) in order to ... address chronic health conditions and decrease utilization of hospitals and other high-cost interventions + Provide...thrive, no matter the odds EDUCATION AND EXPERIENCE + Licensed Registered Nurse + At least 2-3 years of… more