- Molina Healthcare (Albany, NY)
- …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint operation committees… more
- Elevance Health (Latham, NY)
- …providers to discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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 ... teams. It will lead adoption initiatives to increase feature utilization , align solutions with customer needs, and track metrics...that range, dependent upon the key aspects of each case which may include education, skills, experience, scope of… 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 ... reporting of pilot metrics and learnings, which will result in a brief pilot case study as a supportive deliverable for companies participating in the programs +… more
- Comunilife (Queens, NY)
- …its Casa Hope Families Shelter program. As a member of the Comprehensive Case Management (CCM) Team, The Program Director is responsible for daily administrative and ... operations including staff supervision and collaboration with on-site building manager at the Casa Hope Program. The Program Director...lead the team in proving a full range of case management services as well as medical, psychiatric, recreational… more
- CVS Health (Albany, NY)
- …actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager supervisor/ manager and CMs - Serving as internal ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to...in state the candidate resides - 4+ years of case management experience - 3+ years clinical experience -… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates… more
- Global Foundries (Malta, NY)
- …more information, visit www.gf.com. Summary of Role: Automotive Product Program Manager Lead a cross-functional team focusing on PostFab deliverables associated with ... This is a Program Management position not a people manager position. Essential Responsibilities : + Program manage PostFab...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Comunilife (Bronx, NY)
- …Bronx in January 2024, Casa El Faro. As a member of the Comprehensive Case Management (CCM) Team, The Assistant Program Director is responsible for assisting in the ... services program operations including staff supervision and collaboration with on-site building manager at the Casa El Faro Program. With collaboration with the… more
- Cornell Cooperative Extension (Watertown, NY)
- …programs within the Watertown City School District - Wiley Intermediate, Case Middle, Immaculate Heart Central, Ohio Elementary, North Elementary and/or ... engagement. This position works closely with the 4-H Assistant Afterschool Program Manager , Site Supervisors, Educators and school district staff to identify and… more
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