- Catholic Health Services (Freeport, NY)
- …counseling, intervention, and continuity of care to individuals with mental health disorders, emotional disorders and other behavioral challenges. Participates ... to billing operations. Provides functions related to telephone screenings, mental health assessments, case management needs, clinical interventions, and may… more
- CCSI INC (Johnson City, NY)
- …and utilization . + Design and implement monitoring protocol to ensure appropriate utilization management and utilization review procedures are in place. ... Staff Person in accordance with 14 NYCRR 595; OR + Non-Physician Licensed Behavioral Health Practitioner (NP-LBHP) in accordance with 14 NYCRR 598 or 599; OR +… more
- Highmark Health (Albany, NY)
- …portfolio of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, ... Marketing qualified leads and sales qualified leads. + Opportunity Pipeline Management : Manage and forecast the sales pipeline, providing accurate revenue… more
- Highmark Health (Albany, NY)
- …familiarity with key domains like CMS interoperability, Quality management , care & utilization management , and digital health + 3 years' experience in ... brand visibility, market intelligence, etc.) + Proposal & RFP Management : + Support proposal development timelines, coordinate input across...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is a strong advocate of cloud technology and engineering support necessary to drive the ... to senior or lead engineers to further cloud service utilization and optimization. + Develops automation scripts and other...of action. + Level 2 Incident, problem and change management as it pertains to the responsibilities of the… more
- Catholic Health Services (Smithtown, NY)
- Overview St. Catherine of Siena Hospital is a proud member of Catholic Health and has served the residents of the Smithtown area for more than 50 years. The campus ... building. Our nurses, physicians and support staff are devoted to providing advanced health care in an environment of compassion to our patients, their families and… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Nurse Practitioner with a passion for addiction medicine to join our growing Behavioral Health team in Amsterdam, NY. This full-time, hospital-employed position ... patient-centered care. St. Mary's is committed to improving access to integrated behavioral health services across Fulton/Montgomery County and the surrounding… more
- Highmark Health (Albany, NY)
- …knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a recognized subject matter expert (SME). + ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Molina Healthcare (Albany, NY)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.… 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