- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... health care cost drivers. Essential Accountabilities: Level I * Handles behavioral health member clinical management programs. * Maintains knowledge… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Elevance Health (Middletown, NY)
- …insightful analytics to improve the delivery of care. **Title** : Behavioral Health Care Manager- Utilization Management **Location:** **Virtual** : This ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
- Independent Health (Buffalo, NY)
- …Utilization Review Clinician will primarily be responsible for managing behavioral health benefits through utilization management functions as well as ... Behavioral Health ... management activities. **Qualifications** + Masters level licensed behavioral health professional (such as a LCSW, LMSW,… more
- Helio Health Inc. (Syracuse, NY)
- …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... staff on current principles and standards of practice surrounding utilization and denials management . + Use effective...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... Care Advance Provider Tool, and fax for inpatient and outpatient procedures, behavioral health , and durable medical equipment. Essential Accountabilities: Level… more
- Whitney Young Health Center (Albany, NY)
- …to the Chief Behavioral Health Officer (CBHO), while working closely with the behavioral health management team, the Sr. Director of Behavioral ... Sr. Director of Behavioral Health Services Lines (Req 100904)...RESPONSIBILIRIES: (In collaboration with the CBHO) . Conducts program(s) utilization / management audits necessary to maintain clinical processes,… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …fast-paced environment are essential. Education and Training: Associate degree in behavioral health discipline and/or equivalent experience. Qualifications and ... for discharge and coordinate account card reimbursements, if necessary. + Support behavioral utilization activities, aligning with agency policies to promote… more
- Molina Healthcare (Rochester, NY)
- …equivalent experience * 2 or more years in case, disease, or utilization management ; managed care; or medical/ behavioral health settings. * Proficient in ... development, implementation, and collaboration with the delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. **Job… more
- Garnet Health (Harris, NY)
- …to make your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. ... patients. The Clinician is also responsible for obtaining insurance approval for inpatient behavioral health treatment, making sure that correct legal papers are… more