- Molina Healthcare (Buffalo, 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
- 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
- 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
- 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
- OLV Human Services (Lackawanna, NY)
- …electronic health record (EHR) for documentation of services rendered. + Review utilization and service provision with supervisor + Coordinate and ... Required: At least 2 years of experience in children's Mental Health , Behavioral Health , foster care, or related field License/Registration/ Certifications… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- BriteLife Recovery (West Kill, NY)
- BEHAVIORAL HEALTH TECHNICIAN/DRIVER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
- Actalent (New York, NY)
- …nursing experience. + Proficiency with Microsoft Office applications. + Experience with utilization or appeals review . + Knowledge of InterQual criteria. + ... information to determine if medical necessity criteria are met. Responsibilities + Review clinical data to determine claim payment based on company policies and… more
- Molina Healthcare (Rochester, NY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
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