- Molina Healthcare (Yonkers, 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
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- Summary The Primary Care Mental Health Integration Registered Nurse is responsible for all elements of the nursing process when providing and/or supervising direct ... members of the interdisciplinary team. Responsibilities The Primary Care Mental Health Integration (PCMHI) Collaborative Care Manager (CoCM) Registered Nurse (RN) is… more
- Molina Healthcare (Rochester, 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 ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Spectrum Health and Human Services (Buffalo, NY)
- …client to needed services to support care plan/treatment goals, including medical/ behavioral health care; patient education, and self help/recovery, and ... respectfully partners with adults, children, and families as they recover from behavioral , emotional, mental health and/or substance related disorders by… more
- Elevance Health (New York, NY)
- …law._ The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and..._For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5… more
- City of New York (New York, NY)
- …integration, data management, stakeholder collaboration, and capacity building to enhance behavioral health services for pregnant and parenting caregivers. Job ... tools. Program Strategy & Service Expansion - Lead the expansion of behavioral health services for pregnant and parenting caregivers, integrating substance… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, state, CMS,… more
- Elevance Health (Latham, NY)
- …is responsible for managing a team of physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care ... management and/or concurrent review to ensure cost effective utilization of health , mental health , and substance abuse services for one or more member… more
- New York State Civil Service (Utica, NY)
- …in experimental psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance ... With Developmental Disabilities, Office for Title Psychologist 1/2 Occupational Category Health Care, Human/Social Services Salary Grade 21 Bargaining Unit PS&T -… more
- Highmark Health (Albany, NY)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more