- 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)
- …(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
- 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
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN ... $95,000 plus based on education and experience Schedule: Full-Time, 8:00am-4:30pm Manager , Care Coordination Responsibilities: + Manager is responsible for… 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
- 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
- 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
- Trinity Health (Syracuse, NY)
- …Acute Care Setting, 1 year of Community Health preferred. Knowledge of Case Management/ Utilization Management processes **Work Schedule** : Per Diem ... At **St. Joseph's Health** the **Registered Nurse Inpatient Clinical Care Manager ** assumes the responsibility and accountability for collaboratively managing the… more
- Helio Health Inc. (Syracuse, NY)
- …special assignments as requested. + Direct supervision of Billing Specialists/Credentialing and Utilization Case Managers. + All other duties as assigned. ... issues. To support the mission of Helio Health, the Manager of Revenue Cycle Management (RCM) and Medical Records...full compliance with all federal and state regulations. The Manager of RCM and Medical Records is responsible for… more
- Molina Healthcare (Syracuse, NY)
- …+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management. + Interfaces and maintains positive ... in Clinical Program Evaluation + Experience in building clinical targeting models for Case Management + Experience or strong desire to learn Python/PySpark + Well… more
- Molina Healthcare (Syracuse, NY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… 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
- New York State Civil Service (Syracuse, NY)
- …assisted outpatient's community through the designation of a care coordinator (either case manager or ACT Team) for each assisted outpatient.Review ... to cases referred, to determine if referrals were appropriate, if proper case management was assigned and carried out, if individual received appropriate therapy,… more
- CDM Smith (Syracuse, NY)
- …clients. *Demonstrates a strong understanding of the business (eg, utilization , project profitability, overhead, staffing, etc.). \#LI-MS1 \#LI-HYBRID **EEO ... Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or...vary based on country statutory law but in no case , will the background check precede an interview. CDM… more
- CDM Smith (Syracuse, NY)
- …non-technical cross-functional teams. * Implement cost-saving measures and analyze resource utilization to optimize cloud costs. * Work with multi-cultural teams ... Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or...vary based on country statutory law but in no case , will the background check precede an interview. CDM… more