- 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
- Molina Healthcare (Albany, NY)
- …Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
- CAMBA (Brooklyn, NY)
- …impact on many human services sectors. Position: Supervisor Reports To: Program Manager Location: 2244 Church Ave Brooklyn NY 11226 What The Supervisor Does: ... excel. + Ensure that all direct reporting staff completes all necessary case management documentations including intake assessment and uses results to coordinate the… more
- Turner & Townsend (New York, NY)
- …for bid presentations and client meetings, including content flow, visual aid utilization , and audience engagement strategies. + Prepare technical staff for client ... the development of a wide range of proposal collateral, including case studies, capability documents, service descriptions, team CVs/resumes, etc. while adhering… more
- University of Rochester (Rochester, NY)
- …appointments, treatment planning, financial arrangements, and approval phase until case completion. **ESSENTIAL FUNCTIONS** + Exercising tact, initiative, and ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar,… more
- Mohawk Valley Health System (Utica, NY)
- …provision of nursing care to the home health patient. Collaborates with the patient's primary case manager and other members of the health care team. Makes and ... Participates in appropriate agency meetings and the quality improvement and utilization review activities of the organization. + Supports the Agency's Compliance… more
- University of Rochester (Rochester, NY)
- …with emphasis on those with chronic or complex diseases and/or high utilization patterns. The Primary Care Clinical Pharmacist will focus on population health, ... polypharmacy) or by direct referral by a provider or care manager ; consultations will include either enrollment into comprehensive medication management,… more
- University of Rochester (Rochester, NY)
- …treatment planning, financial arrangements, and approval phase until case completion. RESPONSIBILITIES: Exercising tact, initiative and independent judgment ... accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar,… more