- CVS Health (NY)
- …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- FLACRA (Penn Yan, NY)
- …progress notes and other documentation required for the client medical record and utilization management within the timelines outlined by FLACRA. + Participates ... Integrated Outpatient Senior Clinician FLACRA Penn Yan, NY (Onsite) Full-Time $34.00/Hour...+ Monitors, support, and mentors clinicians in their practice management to meet expectations for excellent client care. +… more
- Molina Healthcare (Buffalo, NY)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... of KY and or compact licensure The Care Review Clinician Inpatient Review BH will provide prior authorization for...for outpatient and inpatient services for the KY Medicaid behavioral health population. Strong post-acute level of care experience… more
- Highmark Health (Albany, NY)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Garnet Health (Harris, NY)
- …case management , and discharge planning for non-psychiatric patients. The Clinician is also responsible for obtaining insurance approval for inpatient ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The… more
- Whitney Young Health Center (Albany, NY)
- …serves as a member of the Integrated Outpatient Substance Use Program(s) management team and is responsible for assisting the director with the oversight, ... to increase patient access to care, enhance program census, and achieve clinician productivity standards. + Leads and engages clinicians in direct services and… more
- Magellan Health Services (Fort Drum, NY)
- …- Driver License, Valid In State - OtherOther, Must be an independently licensed behavioral health clinician - Care MgmtCare Mgmt License and Certifications - ... wellness presentations, and consultation to the assigned brigade/regiments command regarding behavioral health issues with an understanding of the military unit,… more
- Elevance Health (New Hyde Park, NY)
- …accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Clinician ** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Trinity Health (Troy, NY)
- …Region. Ambulatory Care Behavioral Health Social Worker provides advanced clinician social work services, care planning, case management , and community ... actively participates in QI initiatives within the hospital ambulatory setting. The Behavioral Health Social Worker plays a significant role within our Accountable… more