- 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
- New York State Civil Service (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
- 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. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and… more
- Mount Sinai Health System (New York, NY)
- …approach to collaborate with other health care professionals to plan, monitor, review , and evaluate the cost, utilization , safety and effectiveness of drugs ... policies, and other programs. Serves as a clinical pharmacy resource for the health system and its affiliated pharmacy services. Responsible to serve as a preceptor… more
- Catholic Health Services (Uniondale, NY)
- …counseling, intervention, and continuity of care to individuals with mental health disorders, emotional disorders and other behavioral challenges. Participates ... and nursing excellence, Mercy Hospital, a member of Catholic Health , may be what you are seeking. We offer... problems and/or emotional disorders of individuals. + Provides review and evaluation of dually diagnosed individuals during pre-admission… more
- Whitney Young Health Center (Albany, NY)
- …the following populations: persons with HIV/AIDS, Hepatitis C, Substance Use and/or Behavioral Health Conditions. Strong written and verbal communication skills; ... Be a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is...acuity level. + Participates in weekly HIV/HCV/PrEP Clinical Care Review + Assist clients to access programs that will… more
- Catholic Health Services (Freeport, NY)
- …counseling, intervention, and continuity of care to individuals with mental health disorders, emotional disorders and other behavioral challenges. Participates ... and nursing excellence, Mercy Hospital, a member of Catholic Health , may be what you are seeking. We offer... problems and/or emotional disorders of individuals. + Provides review and evaluation of dually diagnosed individuals during pre-admission… more
- Highmark Health (Buffalo, NY)
- …cases, which may involve speaking with providers via phone.At times, build cases in Utilization Review system during high volume times. + May have responsibility ... determine root cause of errors and recommend process improvements. Review error trends to identify training opportunities. + Other...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Rochester Regional Health (Rochester, NY)
- …QI and UR reports in a timely manner and participates in QI and Utilization Review processes. + Computer keyboard skills and ability to utilize computers ... 10 years of relevant work experience + Five to Seven years Behavioral Health experience + OASAS Qualified Health Professional. PREFERRED QUALIFICATIONS: +… more
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