- Elevance Health (East Syracuse, NY)
- …with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience preferred. + Experience in health coaching and ... member needs. + Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment. +… more
- Rochester Regional Health (Rochester, NY)
- …+ Flexibility and ability to work as a team player. + Understanding of managed care , formularies, and payer policies. + Experience with Electronic Health Records ... and financial support options while fostering clear communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for… more
- Caz Recovery (Eden, NY)
- …other clinical and medical staff members in advocating for residents during Medicaid managed care and insurance company reviews. + Accurately completes medical ... This position provides quality nursing oversight, linkage of residents to primary care providers and/or mental health services, and monitors medication compliance of… more
- Catholic Health Services (Bethpage, NY)
- …and ensures all required pre-certifications/authorizations are obtained and on file per Managed Care guidelines. Responsible for conducting pre-admit and/or day ... Join us and Long Live Long Island where we care for Every Patient, Every Time. Located in Bethpage,...Hospital that provides comprehensive inpatient and outpatient medical, critical care and surgical services. Its Emergency Department cares for… more
- UPMC (Jamestown, NY)
- …with a service excellent attitude. + Ability and willingness to work in a managed care environment. + Excellent ability and history of direct, gracious, ... the flow of information to promote effective communication regarding the patient care and patient operations and disposition. The incumbent will work one 8-hour… more
- Whitney Young Health Center (Albany, NY)
- …keyboard knowledge. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. All qualified applicants will receive consideration ... Young Health assists the medical providers to provide maximum quality patient care . Maintains an efficient, effective means of patient flow within the medical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …experience in medical management, utilization review and case management. + Knowledge of managed care products and strategies. + Demonstrated ability to educate ... not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various… more
- Hillside Family of Agencies (Rochester, NY)
- …client files to ensure compliance with all Federal, State, Funder, Medicaid Managed Care and Hillside standards. + Obtain and maintain credential/certification ... their family's day-to-day needs, including their own needs for self- care . In addition, this position will lead projects and...of regular service hours. Experience in navigating the foster care system is a plus! This is a Sunday-Wednesday… more
- Catholic Health Services (Rockville Centre, NY)
- …entities on the Strata Decision Support system. Provides accurate cost data for managed care contract negotiations. Assists in the preparation of feasibility ... and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network… more
- Samaritan Daytop Village (New York, NY)
- …substance use disorders and/or treatment services. + Knowledge of evidence-based treatments, managed care principles, and behavior practices. + Seminar in Field ... Social Services. What You Will Do + Provide clinical supervision to Care Coordinators/Social Workers and Interns. Continuously assess learning needs of supervisee;… more