- CVS Health (Albany, NY)
- …- 1+ years' current or previous experience in **Medical/Surgical,** **Oncology, Transplant, Behavioral Health or Specialty Pharmacy.** - 1+ years' experience ... At CVS Health , we're building a world of health ...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC recognized… more
- Villa of Hope (Rochester, NY)
- JOB TITLE: Clinical Director of Behavioral Health Residential & School Programs POSITION GRADE: 86 DEPARTMENT/PROGRAM: Tuckahoe, LHTC, & School Clinicians ... the general direction of the Chief Program Officer, the Clinical Director of Behavioral Health will provide clinical and operational leadership to the Tuckahoe… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and community standards and issue. + Ensures that other Behavioral Health medical directors reviewing pediatric cases review those cases in accordance ... clinical leadership and support for the development and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH… 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
- 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
- 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
- EPI (Endicott, NY)
- …, wellbeing, independence, and social inclusion. Job Purpose: Oversee mental health /mental illness, emotional, and behavioral needs of individuals assigned ... on-call support to direct support staff. + Administer assessments/evaluations of mental health status or behavioral concerns; for example, Vineland Behavior… more
- Centene Corporation (New York, NY)
- …implementation of recommendations to providers that would improve utilization and health care quality. + Review claims involving complex, controversial, or ... management, cost containment, and medical quality improvement activities. + Perform medical review activities pertaining to utilization review , quality… more
- Molina Healthcare (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 ... disorders. * Approves prior authorization requests for BHT treatment by reviewing Behavioral Health Therapy (BHT) assessments and treatment plans for medical… more
- Molina Healthcare (Buffalo, 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