- Highmark Health (Albany, NY)
- …of internal clinical and value-based evaluation committees that drive formulary and utilization management functions. + Participate in product specific Pharmacy ... of implemented initiatives. + Lead product based pharmacy trend management discussions with internal partners including senior executives. +...and Therapeutics Committees and Drug Utilization Review (DUR) Committees as necessary or… more
- WellLife Network (Bronx, NY)
- … contracts, quarterly summaries, collateral contacts. + Meet routinely with residents and management team to review goal progress, identify participant needs and ... update program plan and / or utilization of review plans. + Represent the...with clients. + Knowledge of addiction treatment models and behavioral health interventions. + Crisis intervention skills to handle… more
- Stony Brook University (Stony Brook, NY)
- …such as University Police to develop and implement integrated medical and behavioral health initiatives that incorporate principles of cultural humility. In addition ... developing educational materials, and implementing best practices to enhance EMR utilization . Through collaboration with the CRAFT team, the Director continuously… more
- Whitney Young Health Center (Albany, NY)
- …professional nursing practice, excellent communication and critical thinking skills, self- management expertise along with outstanding customer service to promote and ... assist individuals to manage their health through chronic disease management , wellness promotion and early detection. The Care Manager (RN) will assist in… more
- BriteLife Recovery (West Kill, NY)
- …Maintain compliance with regulatory, licensing, and accreditation standards (eg, audits, utilization review , quality assurance). + Participate in performance ... most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way If you… more
- University of Rochester (Brighton, NY)
- …billing and data reporting. Work with Strong Ties leadership and Dept of Psychiatry Utilization Review team to address documentations concerns in a timely way ... who interact with the most challenging and vulnerable patient population in Behavioral Health clinical services. The Clinical Coordinator is also an integral member… more
- Monte Nido (White Plains, NY)
- …may substitute leadership experience elsewhere. + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance payers. + Previous ... Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. + Knowledge of...Equity and Inclusion practices + Employee selection and performance management experience are a plus. + Must hold a… more
- CenterWell (Albany, NY)
- …by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, ... good practices within the value-based model. + Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations.… more
- Outreach Development Corporation (Richmond Hill, NY)
- …that helps people address the issues stemming from substance use and behavioral health disorders by providing the highest quality, life-changing treatment, training ... ongoing and accurate input of electronic data and provides management and oversight of ambulatory services in the absence...groups, individual counseling and crisis intervention, as needed. + Review and ensure appropriate sign off of UR, treatment… more
- Whitney Young Health Center (Albany, NY)
- …of the patient throughout all stages of infectious disease medication management . This includes developing an individualized service plan, coordinating service ... HIV or Hepatitis C positive in need of treatment/medication management . + Performs Social Determinant of Health and Mental...acuity level. + Participates in weekly HIV/HCV/PrEP Clinical Care Review + Assist clients to access programs that will… more
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