- SUNY Upstate Medical University (Syracuse, NY)
- …and community-based partners to develop strategies to decrease unnecessary hospital ED utilization . In this position, the social worker will Identify utilization ... methodology for improving care. Social Workers provide comprehensive psycho-social assessment, management and support to at risk patients and families. In addition,… more
- City National Bank (New York, NY)
- …as defined. * Resolves problems, answers questions related to customer accounts and utilization of bank products and services. Works with customers and/or business ... management firms to assist in operations areas. Works directly...banking products and services including technical proficiency with product utilization . * Develops new business through referrals and existing… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …in accomplishing the medical facility mission and goals. Responsible for budget management , determining and allocating resources, ensuring proper utilization in ... management , determining resource needs, allocating resources, ensuring proper utilization in productivity, efficiency, and cost effectiveness of the operation.… more
- CVS Health (Albany, NY)
- …high-profile dental and vision clients. This role blends strategic account management with a growth mindset, ensuring exceptional client retention while proactively ... insights and consultative solutions tailored to client needs. * Analyze utilization and performance data to inform recommendations and interventions. * Coordinate… more
- CenterWell (Hauppauge, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... problems, identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review of the… more
- Ellis Medicine (Schenectady, NY)
- …implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, hospital ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with the ED… more
- Humana (Albany, NY)
- …provider population health programs focused on Stars, HEDIS, MRA, chronic condition management , and other efforts to reduce avoidable utilization * Supporting ... supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization , and cost-of-care outcomes. At the core, this is a role… more
- Spectrum Health and Human Services (Buffalo, NY)
- …The Care Coordinator will apply the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the ... core components (Comprehensive Case Management , Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient and Family Support and Referral to… more
- Outreach Development Corporation (Brentwood, NY)
- …computer skills training and oversight of vocational assessment/counseling, case management , coordination of on-site VESID services, educational testing and referral ... as directed by the Site Director. . Implement vocational services and promote utilization of staff that serves to enhance program utilization , service delivery… more
- Highmark Health (Albany, NY)
- …Benefits, Customer Service, Membership & Billing), Provider Data Management , Underwriting, and Professional Relations. **ESSENTIAL RESPONSIBILITIES** + Provide ... including gathering data from multiple sources related to Benefit/Claim Utilization , Enrollment, Networks ( utilization , disruption, geo-access) and making… more