- Centene Corporation (New York, NY)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
- Catholic Charities Family Community Services (Rochester, NY)
- …periodic updates and a closing letter. + Provides information for HMO and payer utilization review as required. + Participates in staff meetings and clinical ... Don't miss out on being a part of something special! **Position Title:** Bilingual Clinician - Outpatient Behavioral Health **Salary Range :** $60,000 to $65,000… more
- Molina Healthcare (Syracuse, NY)
- …reliable transportation. **Preferred Experience** Previous experience in ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS… more
- Molina Healthcare (Syracuse, 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. HCS ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Garnet Health (Harris, NY)
- …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... 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
- New York State Civil Service (NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... under the supervision of a licensed psychologist or other appropriate licensed clinician ; * Develop and write behavioral /treatment plans and complete functional… more
- New York State Civil Service (Albany, NY)
- …improvement, focus on prioritization and areas to be addressed through collaborative review and utilization of available data.* Serve as physician advisor ... Medical Services will:* Evaluate the appropriateness of medical and behavioral health services both authorized and delivered for people...to OPWDD Medical Directors and lead clinician when collaborating with physicians in other agencies including,… more
- University of Rochester (Brighton, NY)
- …billing and data reporting. Work with Strong Ties leadership and Dept of Psychiatry Utilization Review team to address documentations concerns in a timely way ... who interact with the most challenging and vulnerable patient population in Behavioral Health clinical services. The Clinical Coordinator is also an integral member… more
- Veterans Affairs, Veterans Health Administration (Rochester, NY)
- …by the VHA Education Loan Repayment Services program office after review of the EDRP application. Responsibilities VA Careers - Pharmacy: ... (LPMHC) for whom this functional statement applies is assigned to the Outpatient Behavioral Health (BH) Clinic, and will provide clinical services at the Canandaigua… more