- Molina Healthcare (Buffalo, NY)
- …Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. +… more
- Elevance Health (New York, NY)
- …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions ... make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Arms Acres (Carmel, NY)
- …NY (http://maps.google.com/maps?q=75+Seminary+Hill+Road+Carmel+NY+USA+10512) Apply Job Type Full-time Description Case Manager (CASAC-T, CASAC, LMSW, LMHC, ... LCSW) Arms Acres is looking for a Clinical Case Manager to join our team in...patient treatment plans and requested by program director. Performs utilization review, provides progress reports and develop aftercare plans… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... plan. The SW Clinician will also be the primary Case Manager for the detox patient on...detox patient on the medical floor assuring discharge planning, utilization review, and insurance approval. At Garnet Health, we… more
- Lumen (Albany, NY)
- …and track improvements in technologies and processes. + Analyze system utilization statistics to identify performance bottlenecks and recommend enhancements for ... and vendor-specific appliances. + Proven ability to analyze system throughput, utilization , and capacity to inform infrastructure decisions. + Self-motivated with a… more
- CenterWell (Albany, NY)
- …teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management, including familiarity with social determinants of health. + The… more
- Edwards Lifesciences (Stony Brook, NY)
- …will make an impact:** + Working independently in the areas of valve crimping, case management, pre- case planning, post- case management, 3 Mensio management, ... educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing...and crimping of the Sapien valve in each assigned case ; to support Physicians in the THV procedure to… more
- Deloitte (New York, NY)
- …CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
- Global Foundries (Malta, NY)
- …Stay informed about changes in immigration laws, policies, and procedures. + Case Management: Manage a portfolio of immigration cases, tracking progress and ... Keeping: Maintain accurate and confidential records of employee information and case details. Generate reports on immigration activities and outcomes as needed.… more
- YAI (Manhattan, NY)
- …Residence in collaboration with the multi-disciplinary team, families and case managers, receiving referrals of potential intakes, reviewing application materials, ... supervision to Children's Crisis Residence program leadership, including supervisors, case managers and mental health clinicians, overseeing and directing daily… more