- Helio Health Inc. (Syracuse, NY)
- …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
- Elevance Health (New York, NY)
- ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible...state or territory of the United States when conducting utilization review or an appeals consideration and… more
- Elevance Health (New Hyde Park, NY)
- ** Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ... for employment, unless an accommodation is granted as required by law. The ** Behavioral Health Care Manager II** is responsible for managing psychiatric and… more
- MVP Health Care (Rochester, NY)
- …and continuous improvement. To achieve this, we're looking for a **Medical Director, Behavioral Health Children's Services** , to join #TeamMVP. If you have ... of NYS child serving systems. + Experience with critical review in clinical scenarios is desirable. + Knowledge of...MVP's efforts to collaborate in person and virtually with behavioral health network providers and facilities around… more
- Garnet Health (Harris, NY)
- …for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. Join the Garnet Health team and let your ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Apicha Community Health Center (New York, NY)
- …to Quality Improvement and Quality Assurance activities. + Participate in the development and review of Apicha's behavioral health policies and procedures. + ... environment for underserved and vulnerable populations. Position summary: Provides clinical behavioral health services to all age patients/families in Apicha… more
- Stony Brook University (Stony Brook, NY)
- Per Diem - Behavioral Health Specialist **Position Summary** At Stony Brook Medicine, our Behavioral Health Specialist: + Orients patients to treatment ... position responsibilities and in accordance with state agency regulations. **Duties of a Behavioral Health Specialist may include the following but are not… more
- Samaritan Daytop Village (Rhinebeck, NY)
- …staff as needed with assuring compliance with external and internal utilization review /quality and appropriateness requirements. What qualifications do you ... recognized as one of New York's Largest as well as nationally known comprehensive Health and Human Service Agency. With 60+ programs and growing across New York City… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- … management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality ... of physician education with respect to clinical issues and policies. + Identifies utilization review studies and evaluates adverse trends in utilization … more
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