- Bassett Healthcare (Cooperstown, NY)
- …and elder abuse and neglect, domestic violence and complex care management (when appropriate). Adherence to established Psychiatry Department protocols and (OMH) ... of practice in the field . Participates in the Utilization Review Process . Collaborates with outside agencies, such...other duties as requested and observed by supervisor or manager . Partial remote work is available dependent upon… more
- Elevance Health (New York, NY)
- **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Kaleida Health (Buffalo, NY)
- …with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working ... (5) years of hire to the position. Certified Case Manager (CCM) preferred. Employees in the job title prior...2 years of experience in any combination of case management , home care and utilization review preferred.… more
- Elevance Health (New York, NY)
- …law._ The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Ryder System (Albany, NY)
- …or if the Claim Manager is not available. Participates with Claim Manager in the selection and management of outside vendors for investigation, cost ... vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled properly according to the… more
- Highmark Health (Albany, NY)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Molina Healthcare (Albany, NY)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified… more
- Albany Medical Center (Albany, NY)
- …and accurately. The Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the OR setting under ... the direction of the OR RN clinical manager (s). Assures surgeons' needs as identified on the surgical...as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure… more
- SAP (New York, NY)
- …success the organization. This office will drive alignment with Customer Success Manager (CSM) roles by empowering them with training, resources, and strategic ... with cross-functional teams. It will lead adoption initiatives to increase feature utilization , align solutions with customer needs, and track metrics for continuous… more
- LACI (New York, NY)
- …KPIs; at times, independently collect and assess pilot quantitative and qualitative utilization data to track progress. Work with innovators and partners to adjust ... done. This means you have: + BA/BS degree in relevant field + Project Management : 3-5 years related project management work experience, preferably in cleantech,… more