- CVS Health (New York, NY)
- …Retail Pharmacy. This team leads the strategy, opportunity identification, business case development, testing and incubation, and P&L management of the capabilities ... and leading discussions on how ideas should be prioritized based on their business case . The Senior Manager is expected to be able effectively communicate their work… more
- Northwell Health (Melville, NY)
- …and the third party payer. Prepares and defends level of care and medical necessity for assigned case . Collaborates with physician advisor, payor representative ... as needed. Preferred Skills 3-5 years experience in Utilization Review, Case Management, and Clinical Appeals. 3-5 years of acute inpatient clinical experience.… more
- HCR Home Care (Plattsburgh, NY)
- … manager, based on case orders for tracking purposes and route to Medical Records to be sent to the physician for signature. Ensure any corrections are made ... visit as the task appears on the action screen + Participate in case conferences, as needed, and process recert/discharge decisions based on clinical documentation… more
- Project Renewal, Inc. (Bronx, NY)
- …Phase II features a Learning Center, indoor gym, and a street facing medical clinic. Overall Responsibilities Under the general direction of the Senior Director, ... Housing (HRA) and Urban Development (HUD). + Direct clinical supervision of case management staff, which also includes providing on-going training, assessment, and… more
- Apicha Community Health Center (Jackson Heights, NY)
- …for operation of direct support services programs. The major programs are healthcare case management, grant funded case management, food and nutrition, and ... and administrative supervision to staff by chart review, face to face case discussion and performance reviews. + Actively participate in multidisciplinary meeting. +… more
- Project Renewal, Inc. (Brooklyn, NY)
- …individuals who are employed/seeking employment (70). Our comprehensive services include case management, individual and group counseling, mental health care and ... primary medical care, recreational activities, occupational therapy, employment services and...scheduling staff for training as needed + Participates in case conferences in response to client complaints, using conflict… more
- Bowery Residents Committee (Manhattan, NY)
- …The program provides a complete range of mental health stabilization, medication management, case management, and medical services aimed at moving residents into ... DUTIES/RESPONSIBILITIES Provide comprehensive case management services to a challenging caseload of mentally ill, homeless adults. Assist with obtaining benefits,… more
- Kaleida Health (Buffalo, NY)
- …Health from other Cancer Registry facilities throughout the nation. Responsibilities include case finding, reviewing medical records for retrieval of designated ... information, abstracting appropriate information, coding case in ICDO-2/3 coding system, staging case according to AJCC Staging Manual, completing summary… more
- Audacy (New York, NY)
- …a comprehensive benefits package to include: health care coordinator, medical , dental, vision, telemedicine, flexible spending accounts, health savings account, ... technologies (GCP, AWS, BigQuery, Snowflake, etc). GCP and BigQuery experience preferred . + Build, maintain, and optimize data models and dimensional warehouses… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …contracts. Essential Primary Responsibilities/Accountabilities: All Levels + Operates as a case advisor for Insureds accessing benefits under their LTC policy as ... the Company. + Evaluates Insured's condition through review of field assessments, medical records, etc. Determines benefit eligibility based on the criteria outlined… more