- Molina Healthcare (Rochester, NY)
- …itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization, and maintain compliance with state and federal laws. All reviews ... the quality, accuracy, and efficiency of review services. + Serve as a resource and subject matter expert to colleagues with less experience, providing ongoing… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Case Manager will facilitate the continuum of care for an assigned number of cases by managing, coordinating, facilitating and ... monitoring resources to achieve optimal clinical outcomes, utilization... outcomes, utilization of services, and financial goals. The Clinical Case Manager oversees the discharge process… more
- Trinity Health (Syracuse, NY)
- …and various regulatory and professional agencies. **Supervised By:** + Team Leader, Clinical Coordinator, Unit Manager , and Clinical Services/Nursing ... This team is dedicated to patient care and each other. Our internal Resource Pool is a Relationship-Based care team designed to provide consistent staff support… more
- Deloitte (New York, NY)
- …health. Recruiting for this role ends on 8/31/2025. Work You'll Do As a Manager you will lead and deliver engagements, or components of large, complex engagements. ... and implement creative business and technology solutions for clients. Using direct management and hands-on delivery, you will craft solutions for clients. You will… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Policy Clinical Manager will collaborate with the CDPHP team in the development, review and ... revision of CDPHP Resource Coordination policies, including internal and external distribution. This...license required. + Minimum two (2) years of utilization management concepts and techniques within an HMO, Managed Care… more
- Elevance Health (Latham, NY)
- …of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management , a ... **Referral & Resource Specialist** **Location:** Candidates must reside in one...agencies, organizations and individuals to insure optimal use of resources , services and natural support systems. + Ensures compliance… more
- Northern Rivers Family Services (Hudson, NY)
- Clinical Case Manager Job Details Job Location Castleton-NPCS - Castleton-on-Hudson, NY Position Type Full Time Salary Range $21.00 - $21.00 Hourly Travel ... Percentage Up to 50% Description As a Clinical Case Manager in the Intensive Aftercare Prevention Program, you will provide six to nine months of intensive… more
- City of New York (New York, NY)
- …implementation leadership and coalition building support by providing program management implementing the doula-friendly hospital model within NYC maternity ... oversight of the New York Coalition for Doula Access (NYCDA). The Doula Program Manager will be responsible for the following: DUTIES WILL INCLUDE BUT NOT BE LIMITED… more
- Insight Global (Greenburgh, NY)
- Job Description A leading home healthcare provider is seeking a Clinical Nurse Manager to join their Elmsford, NY office. This is a full-time position offering a ... or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights"… more
- Guthrie (Binghamton, NY)
- …based on assessed needs and available resources . The Acute Case Manager monitors clinical approaches and make recommendations for alternate levels of ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more