- CAMBA (Brooklyn, NY)
- …newly admitted clients receive social service intake with 48 hours of assignment to case manager . + Monitor and track client intakes and move-outs utilizing DHS ... tracking forms are completed and submitted to DHS. + Review and update ACS client rosters. + Meet with...Meet with community agencies to assist with high risk case conferences as needed. + Maintain professional relationships with… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... plan. The SW Clinician will also be the primary Case Manager for the detox patient on...detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet… more
- Albany Medical Center (Albany, NY)
- …offers comprehensive HIV services including primary medical care, medical case management, medication adherence, peer services, substance abuse counseling, mental ... practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may...* Performs venipuncture per order of MD/APP * Performs review and triage of incoming test results, patient requests… more
- Molina Healthcare (Buffalo, NY)
- …and Abilities **Preferred Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional. * Home Care, Long-Term ... experience with focus in managed care, including disease or case management * UAS experience * Experience conducting home...and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or… more
- MTA (Brooklyn, NY)
- …Until Filled Authority: TA Department: Subways Division/Unit: Car Equipment Reports to: Manager Shop Equipment Work Location: Coney Island Overhaul Shop Hours of ... need not apply again. Your application is currently under review . * This position on the NYC Transit payroll...identify trends and root causes. 6) Formulate a business case for the replacement of essential but underperforming shop… more
- Elevance Health (Latham, NY)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... + Extensive orthopedic surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. For candidates working… more
- New York State Civil Service (Brooklyn, NY)
- …the UIAB Manager to oversee professional development and assess the utilization of staff and positions across the UIAB, ensuring the appropriateness of duties ... and maintaining documentation through the system development life cycle (eg, Business Case , Use Case , Business Requirement Document [BRD], Fit-Gap Analysis,… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures.Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves… more
- CAMBA (Brooklyn, NY)
- …abuse disorder, a disabling medical condition or HIV/AIDS. CAMBA provides on-site case management and supportive services in addition to 24/7 security. Position: ... Clinical Supervisor Reports To: Program Manager Location: 560 Winthrop Street, Brooklyn, New York 11203...Ensure that all direct reporting staff completes all necessary case management documentations including assessments and service plans, and… more
- Evolent (Albany, NY)
- …Oncology clinical Q&As for provider portal, prior authorizations, lists, regimens, scope diagnoses, case review and related activities. + Review of Carepro ... value- based care and initiatives within pathway, policy, and beyond utilization management solutions. + Introduce innovative initiatives supported with evidence and… more
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