- CVS Health (Albany, 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...+ 2+ years' experience in medical social work or case management. + Candidate must have one of the… more
- Elevance Health (Latham, NY)
- …medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. + **Orthopedic Spine… more
- Sharecare (Albany, NY)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… 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
- Comunilife (Queens, NY)
- …itsSanctuary program in Queens, Casa Hope.As a member of the Comprehensive Case Management (CCM) Team, The Assistant Program Director is responsible for assisting ... services program operations including staff supervision and collaboration with on-site building manager at the Casa Hope Program. With collaboration with the Program… more
- Rochester Institute of Technology (Rochester, NY)
- …and understanding best practices for fiscal responsibility. + Work with Assistant Manager of Operations and Events and Operations Director of Performing Arts to ... Arts budget. + Assess PASP budgetary activities annually to ensure proper utilization of resources and strategies for short-term and long-term resource needs for… 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
- 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
- Global Foundries (Malta, NY)
- …of either an individual contributor (as directed and/or independently), or as a manager : * Create, analyze and review technical charts * Develop and modify process ... and your contact information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries concerning a request for… more
- Global Foundries (Malta, NY)
- …that Workday will automatically populate in every external job description. The Hiring Manager only needs to provide the above pieces of information. Expected Salary ... and your contact information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries concerning a request for… more