- Highmark Health (Albany, NY)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Highmark Health (Albany, NY)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Behavioral Health Manager , Provider Installation manages a division of the Provider ... Supervisors, Analysts and Consultants supporting Humana Behavioral Health and National Ancillary Contracts.. The Manager ...millions of people we serve to achieve their best health - delivering the care and service… more
- Trinity Health (Albany, NY)
- …immediate and direct supervision of the manager and/or clinical supervisor of the Behavioral Health Program. Provides behavioral health services as a ... **Employment Type:** Full time **Shift:** Rotating Shift **Description:** ** Behavioral Health Counselor II** **SPARC, Second Ave Albany** If you are looking for… more
- Trinity Health (Albany, NY)
- …immediate and direct supervision of the manager and/or clinical supervisor of the Behavioral Health Program. Provides behavioral health services as a ... **Employment Type:** Full time **Shift:** Rotating Shift **Description:** ** Behavioral Health Counselor I** **SPARC, Second...at SPARC Second Ave, an affiliate of St. Peter's Health Partners, we care for more people… more
- Elevance Health (Latham, NY)
- …Preferred Skills and Experiences: + Leadership experience in account management, preferably in behavioral health , managed care , or health plan ... state client contexts. + Expertise in behavioral health products, account management, and managed care ....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Albany Medical Center (Albany, NY)
- Department/Unit: HBD - Peds Counseling & Behavioral Health Work Shift: Day (United States of America) Salary Range: $68.640.00 - $99,023.00 Registered Nurse ... Pediatric Behavioral /Developmental Office Albany, NY We are looking for a...practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may… more
- Whitney Young Health Center (Albany, NY)
- …of Patient Centered Medical Home (PCMH), the Registered Nurse Care Manager (RN) at Whitney Young Health (WYH) will demonstrate professional nursing ... will assist in coordination and integration of medical and behavioral health by working with the patient...or specialty referrals that require the Care Manager to assist/follow patient in navigating complex health… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Care Manager ** This on site position is an ambulatory care registered nurse who ... management at least one of the following settings: disease management, home health care , hospital or physician office setting. Preferred Certification in Case… more
- St. Catherine's Center for Children (Albany, NY)
- …program guidelines set forth by the NYS Department of Health , the Children's Health Homes Care Manager provides comprehensive care planning, ongoing ... linkage to Medicaid eligible children with complex physical and behavioral health conditions, and their families, to...enrolled children, conducts a comprehensive assessment of the child's health care needs and the families' social… more
- The Salvation Army (Saratoga Springs, NY)
- …and work with clients to assess and identify areas requiring supportive services. (Children's Health Homes) The care manager works with children, families ... identified goals on Plan of Care . (Adult Health Homes) The care manager ...situations, behavioral health (Serious mental health /serious emotional disturbance), primary health care… more
- The Salvation Army (Saratoga Springs, NY)
- …and work with clients to assess and identify areas requiring supportive services. (Children's Health Homes) The care manager works with children, families ... identified goals on Plan of Care . (Adult Health Homes) The care manager ...situations, behavioral health (Serious mental health /serious emotional disturbance), primary health care… more
- St. Catherine's Center for Children (Albany, NY)
- …Hi-Fidelity Wraparound Care Manager are enrolled in the NYS Department of Health Children's Health Home Care Management (Community Outreach & Care ... coordination model to support children and youth with serious behavioral health challenges in living successfully in... Coordination) program. The High-Fidelity Wraparound Care Manager 's primary responsibility is to assist in developing a… more
- CAI (Albany, NY)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Highmark Health (Albany, NY)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Acacia Network (Albany, NY)
- …supports the wellness and recovery goals of individuals with complex and/or chronic behavioral health and substance abuse issues and needs by implementing ... on a weekly basis. The goal of the case manager is to help patients regain optimum health...wellness and prevent secondary disease complications through provision of health information, support plan of care , and… more
- Highmark Health (Albany, NY)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Albany Medical Center (Albany, NY)
- …RAP program + Refers to and coordinates with community support service providers and behavioral health providers on behalf of the RAP patient. Monthly contact ... patients newly diagnosed with HIV or returning back to care . The case manager responsible for having...services or designee + Updates release of information forms, health care proxy, and other pertinent information… more
- Highmark Health (Albany, NY)
- …Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR CERTIFICATIONS** ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Albany Medical Center (Albany, NY)
- …competent manner. + Use motivational interviewing techniques, strength-based counseling, behavioral activation, and proactive care navigation + Distribute ... States of America) Salary range: $60,308.00 - $70,690.00 The Substance Abuse Case Manager provides Case Management services, as needed to patients under the care… more