- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Molina Healthcare (Syracuse, NY)
- …Active, unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. + One year… more
- Molina Healthcare (Syracuse, NY)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... and quality initiatives under the direction of leadership. + Monitors drug utilization and assists leadership team in understanding quality and cost control issues… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …auditor within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- SUNY Upstate Medical University (Syracuse, NY)
- …optimal clinical outcomes, utilization of services, and financial goals. The Clinical Case Manager oversees the discharge process for all patients within the ... Job Summary: The Clinical Case Manager will facilitate the continuum of care for an assigned number of cases by managing, coordinating, facilitating and… more
- The Salvation Army (Syracuse, NY)
- …auxiliary services as needed under direction of their supervisor and the DSS Case Manager . + Timely completion of required documentation, assessments, case ... Overview FFT CW Case Planner II Full-time, $28.00/hour with Benefits The...the family; and to other service providers regarding client utilization of and need for services, mental health/substance abuse… more
- The Salvation Army (Syracuse, NY)
- …auxiliary services as needed under direction of their supervisor and the DCFS Case Manager . + Timely completion of required Connections documents, assessments, ... the family; and to other service providers regarding client utilization of and need for services, mental health/substance abuse...- Four years of related experience (Eg Social Worker, Case Worker, Program Manager , Coordinator) SPECIAL SKILLS,… more
- CenterWell (Liverpool, NY)
- …Type** : Hybrid **Branch Location** : Liverpool, NY The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- Amgen (Syracuse, NY)
- …to support optimal patient care. As a SAM, you will drive product utilization while identifying and addressing the unique needs of each account. This includes ... stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion centers, and caregivers. + Navigate and engage… more
- Crouse Hospital (Syracuse, NY)
- …preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: + ... Crouse's Care Coordination Services team is hiring a Care Manager to review the services delivered to patients and...maintaining the quality of care. + Participates in the utilization management process using standards of care to determine… more
- Helio Health Inc. (Syracuse, NY)
- …position and also take into account information provided by the hiring manager and program. INDcirA Job LocationsUS-NY-Syracuse Category Case /Care Management ... (2) years of experience as a Health Home care manager serving the SMI or SED population + Must...+ Strong organizational skills. + Good data management and utilization skills. + Good communication skills. + Multilingual a… more
- Molina Healthcare (Syracuse, NY)
- …to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of… more
- Huntington Ingalls Industries (Syracuse, NY)
- …issues related to CAD applications, graphics rendering, and system resource utilization . * Assist engineers and designers with technical issues related to ... your request and your contact information. Reasonable accommodations are considered on a case -by- case basis. Please note that only those inquiries concerning a… more
- Molina Healthcare (Syracuse, NY)
- …(provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case -by- case interventions). * Articulates pharmacy management policies ... authorization requests as needed. * Researches, develops, and implements drug utilization and disease state management strategies and intervention techniques to… more
- Molina Healthcare (Syracuse, NY)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- CDM Smith (Syracuse, NY)
- …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. -...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Molina Healthcare (Syracuse, NY)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. +… more
- CDM Smith (Syracuse, NY)
- …identify savings and improvements. * Provide insights that matter: Report on utilization , explain budget variances, and present forecasts to key stakeholders across ... demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications preferred. *… more
- J&J Family of Companies (Syracuse, NY)
- …differentiation with approved clinical studies and marketing aids to support the case for adoption. Achieve all sales performance goals and objectives for ... not limited to call plan attainment, resource execution and utilization , compliance and sales training requirements. + Consistently adhere...If you move forward, you'll meet with the hiring manager (and possibly others on the team) in one… more