- Albany Medical Center (Albany, NY)
- …and evaluation of services to patients and families + Collaborate with Risk Management , Patient Relations, Utilization Management , and Quality Management ... Department/Unit: Care Management /Social Work Work Shift: Day (United States of America) Salary Range: $65,102.17 - $100,908.37 Medical Social Worker Create optimal… more
- Elderwood (Buffalo, NY)
- …may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities ... health care related issues + Provide discharge planning and continuous care management across care settings and coordinate the transition planning + Participate in… more
- Wolters Kluwer (Albany, NY)
- …including: + Conducting regular account review meetings and reviewing account utilization management reporting to provide recommendations + Overseeing contract ... + Closely managing the deal through closure and keeping management informed of any risks or delays + Retaining...level and other key decision makers + Excellent account management skills and ability to manage external and internal… more
- Elevance Health (New Hyde Park, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …assignments, difficult members and highly visible issues. + Understanding of the basic Utilization Management and Case Management aspects of the department ... attendance is expected and required. + Performs other functions as assigned by management . Minimum Qualifications: + RN with valid and current NYS Nursing Licensure.… more
- CVS Health (Albany, NY)
- …Lead the day-to-day operations of key business projects and programs around utilization management (UM), clinical programs, and pharmacy operations. + ... user of Excel, PowerPoint, Word **Preferred Qualifications:** + Project management certification. **Education:** + Bachelor's degree preferred or a combination… more
- Molina Healthcare (Albany, NY)
- …use of information from multiple sources, including claims/encounters, pharmacy, utilization management , clinical indicators, industry benchmark, and/or ... & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated knowledge of and experience with HEDIS… more
- UPMC (Jamestown, NY)
- …Nurse. + Minimum of 3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or case management . + ... 5 years of experience in community-based case management and behavioral health _preferred_ . + General knowledge of best practices for working with special needs… more
- MVP Health Care (Schenectady, NY)
- …+ Minimum 4 years of clinical nursing experience. + At least 2 years in utilization management sub-acute care review. + 2+ years of supervisory experience + ... team at ###@mvphealthcare.com . **Job Details** **Job Family** **Medical Management /Clinical** **Pay Type** **Salary** **Hiring Min Rate** **56,200 USD** **Hiring… more
- Bowery Residents Committee (Manhattan, NY)
- …plans, and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... MSW or CASAC-T License required. LMHC or LMSW preferred. Excellent time management skills. Bachelors strongly preferred. Knowledge of OASAS rules and regulations and… more
Recent Jobs
-
Penske - Truck Driver - Local Class A - Penske Logistics
- Penske Truck Leasing (Springfield, OR)
-
Receiving - 1st Shift
- AC Pro (Rancho Cucamonga, CA)
-
Extrusion Packaging Technician I
- Repligen (Clifton Park, NY)
-
Associate Director, Financial Planning & Analysis-1
- Daiichi Sankyo, Inc. (Bernards, NJ)