- Trinity Health (Albany, NY)
- …program benefits and services and post-acute care services + Serves as the liaison case manager with the internal and external case managers to ... Primary responsibility is to provide on-site support and assistance to hospital case management and hospitalist team to ensure timely identification of inpatients… more
- Elevance Health (Latham, 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
- Molina Healthcare (Yonkers, NY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… 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
- CVS Health (Jackson Heights, NY)
- …in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions ... and chronically ill members with the goal of appropriate utilization , decreased length of stay, and preventable emergency room...of 2 years' experience in medical social work or case management. + Complies with all state requirements in… more
- Elevance Health (Buffalo, NY)
- …**The LTSS Svc Coordinator RN-Clinician** is responsible for overall management of member's case within the scope of licensure. The RN has overall responsibility to ... illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member… more
- Global Foundries (Malta, NY)
- …addressing potential areas for improvement and optimize tool availability, cycle time, utilization and cost + Completing all required reporting and documentation + ... requirements and programs + Other duties as assigned by manager / supervisor Required Qualifications: + Education - High...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Global Foundries (Malta, NY)
- …will drive the implementation of change and provide hands-on support for business case analyses for capital requests. They will fully engage with the site ... + Champion site capital request requirements (Globally) from business case analysis through approval. + Identify and pursue future...on business needs. + Other duties as assigned by manager . + Fluency in English Language - written &… more
- Albany Medical Center (Albany, NY)
- …offers comprehensive HIV services including primary medical care, medical case management, medication adherence, peer services, substance abuse counseling, mental ... practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may...facilitates call-backs to patients as necessary * Facilitates the utilization of resources to meet patient outcomes and contribute… more
- CAMBA (Brooklyn, NY)
- …newly admitted clients receive social service intake with 48 hours of assignment to case manager . + Monitor and track client intakes and move-outs utilizing DHS ... Meet with community agencies to assist with high risk case conferences as needed. + Maintain professional relationships with...professional development of staff. + Assist the Senior Program Manager in providing oversight for all aspects of the… more
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