- Elevance Health (Buffalo, NY)
- …law._ The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- ZOLL Medical Corporation (Bronx, NY)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- Catholic Health Services (Smithtown, NY)
- …for patients across the acute care continuum. Performs required activities for utilization management , PRI assessment and completion, transition planning, and ... relevant clinical medical/surgical or specialty experience required. 2-3 years' Utilization Management , Performance Improvement, Transition Planning and/or Care… more
- Albany Medical Center (Albany, NY)
- …+ Facilitates the utilization of resources to meet patient outcomes (case management ). + Writes letters of medical necessity as indicated + Participates in the ... include the following. Other related duties may be assigned: Support for Self- Management + Enhances health literacy + Performs a baseline comprehensive needs… more
- CVS Health (Albany, NY)
- …affirmative action employer, and is an equal opportunity employer, as are the physician -owned businesses for which CVS Health provides management services. We do ... internal teams. Conduct system health checks, capacity planning, and resource utilization analysis, adhering to industry standards and security protocols. Ensure all… more
- Albany Medical Center (Albany, NY)
- …hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management , quality, credentialing, and other related departments. ... the high level, multifaceted competencies needed for the implementation and management of payer contracting strategies including building solid external payer… more
- Amgen (New York, NY)
- …+ Offer office education during the access process, including formulary coverage/ utilization management criteria, insurance forms & procedures, benefits ... HUB, providing live one-on-one coverage support + Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer… more
- Albany Medical Center (Albany, NY)
- …comprehensive HIV services including primary medical care, medical case management , medication adherence, peer services, substance abuse counseling, mental health ... nutrition services, gynecological services, Hepatitis B and Hepatitis C management / treatment, referral to clinical trials, pre-exposure prophylaxis (PrEP), post… more
- Fresenius Medical Center (Jamaica, NY)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- CDPHP (Albany, NY)
- …The pharmacy tech will participate in an on-call/holiday rotation along with a utilization management pharmacist to support Plan members in after hour pharmacy ... for a rewarding career. Established in 1984, CDPHP is a physician -founded, member-focused, and community-based not-for-profit health plan that offers high-quality… more