- Molina Healthcare (Rochester, NY)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- UPMC (Jamestown, NY)
- …Registered Nurse. + Minimum of 3 years of experience in behavioral health , clinical care, utilization management , home care, discharge planning, or ... case management . + 5 years of experience in community-based case management and behavioral health _preferred_ . + General knowledge of best practices for… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health , Pharmacy, Registered ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Helio Health Inc. (Syracuse, NY)
- …mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission ... staff on current principles and standards of practice surrounding utilization and denials management . + Use effective...Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care,… more
- Molina Healthcare (Buffalo, NY)
- …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
- Evergreen Health (Buffalo, NY)
- …incidents in the CBH programs + Provides monthly reports to the behavioral health team to ensure caseload monitoring, risk management , and other tracking as ... working in a behavioral health setting required; clinical auditing, quality improvement, data analysis/reporting, and project management experience preferred more
- MVP Health Care (Rochester, NY)
- …and continuous improvement. To achieve this, we're looking for a **Medical Director, Behavioral Health Children's Services** , to join #TeamMVP. If you have ... reviews. Lead's MVP's efforts to collaborate in person and virtually with behavioral health network providers and facilities around clinical determinations,… more
- Garnet Health (Harris, NY)
- …to make your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. ... is also responsible for obtaining insurance approval for inpatient behavioral health treatment, making sure that correct...utilization review, and insurance approval. Join the Garnet Health team and let your excellence shine. Salaries shown… more
- Molina Healthcare (Yonkers, NY)
- …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management … more
- Molina Healthcare (Buffalo, NY)
- …**_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more
- OLV Human Services (Lackawanna, NY)
- …Minimum Experience Required: At least 2 years of experience in children's Mental Health , Behavioral Health , foster care, or related field ... children's lives? Do you have experience working in mental health , foster care, or similar fields of work? If...Salary range: $18.22 - $26.00 per hour. The Youth Behavioral Support Caseworker provides direct services to children and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Accountabilities: Level I + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- Healthfirst (NY)
- … principles by advocating, informing, and educating beneficiaries on services, self- management techniques, and health benefits related to the continuum ... of home placement, and/or community-based services and may be called upon to do Utilization Review for those services + Develops care plans that align with the… more
- Catholic Health (Buffalo, NY)
- …will apply the essential activities in conjunction with other providers (eg Behavioral Health , Substance Abuse, Aids Community Services) which include, planning, ... coordination, monitoring and evaluation with the core components (Comprehensive case management , care coordination & health promotion, comprehensive transitional… more
- Shrub Oak International School (Mohegan Lake, NY)
- …LCAT in good standing required + At least 3 years' experience in a behavioral health , residential, or educational setting conducting mental health / ... is a licensed professional who will provide expertise in behavioral science and mental health related services,...and will be directly involved with the implementation and utilization of DBT as a core component of treatment.… more
- HCR Home Care (Rochester, NY)
- …evaluate, manage, and integrate solutions and resources for all primary, complex chronic diseases, behavioral health and long-term care needs in the Health ... families with the adjustment to their illness and following medical/ behavioral health recommendations. + Assist the clients...Timely discharge of clients no longer engaged in the Health Home Program. + Represent Care Management … more
- HCR Home Care (Canton, NY)
- …evaluate, manage, and integrate solutions and resources for all primary, complex chronic diseases, behavioral health and long-term care needs in the Health ... families with the adjustment to their illness and following medical/ behavioral health recommendations. + Assist the clients...Timely discharge of clients no longer engaged in the Health Home Program. + Represent Care Management … more
- Trinity Health (Troy, NY)
- …of care with the member. The assessment will include their medical and behavioral health needs, substance abuse, activities of daily living, their socio-economic ... are looking for an energetic individual to join our Health Home Care Management Team! The ideal...more working with individuals with chronic medical conditions and behavioral health issues. Five years experienced strongly… more
- Whitney Young Health Center (Albany, NY)
- …detection. The Care Manager (RN) will assist in coordination and integration of medical and behavioral health by working with the patient as well as various WYH ... + The RN Care Manager supports the primary care physicians in population health management by focusing care coordination attention on the at-risk population… more
- Healthfirst (NY)
- …that experience being in managed care + Progressive leadership experience in medical and behavioral health care management including work experience in a ... and value-based care goals + Champion initiatives that elevate the integration of behavioral health with physical health and social determinant support… more