- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center… more
- University of Rochester (Rochester, NY)
- …of Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain ... Counseling, Medicaid Enrollment & Outreach, Financial Assistance, Registration and Insurance Management , Utilization Management , Social Work, Patient… more
- University of Rochester (Rochester, NY)
- …Time Type: Part time Scheduled Weekly Hours: 20 Department: 500059 Ambassador and Guest Services Work Shift: UR - Day (United States of America) Range: UR URCB 203 ... **Responsibilities:** GENERAL PURPOSE: With general direction of the Ambassador Management Team and with latitude for independent initiative and judgment:… more
- Hillside Family of Agencies (Rochester, NY)
- …of the day-to-day operations of the program, including hiring, training, fiscal management , utilization management , clinical oversight and regulatory ... SUMMARY The Clinical Manager ensures the delivery of quality services to youth and their families by providing guidance...within budget parameters. + Ensures program consistently achieves budgeted utilization and works with team to address any … more
- University of Rochester (Rochester, NY)
- …arranges for admission of patients to inpatient and outpatient beds and services , schedules and assigns accommodations or service locations; determines financial ... internal equity considerations._ **Responsibilities:** GENERAL SUMMARY Using excellent customer service skills and exercising thorough knowledge of hospital policy… more
- University of Rochester (Rochester, NY)
- …when needed. Maintains and updates cancellation/wait lists to effectively manage utilization . Answers phones, triages calls and relays messages. Fields patient ... independently. Maintains and updates cancellation/wait lists to effectively manage utilization . Ensuring clinics are appropriately full and operating efficiently.… more
- Molina Healthcare (Rochester, NY)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... that services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an external-facing, field-based position… more
- University of Rochester (Rochester, NY)
- …on more complex assignments. **ESSENTIAL FUNCTIONS** + Interprets eligibility for admission/ service /treatment plans. + Documents in a timely, accurate manner in the ... urgent admissions. + Marks patients for merge and notifies Health Information Management . + Exercising tact, initiative and independent judgment based on financial… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE: Performs the functions of patient account management for individuals receiving services . Completes the tasks ... requesting deposits, initiating referrals to sponsorship programs. Coordinates account management through discharge and forwards accounts to the patient accounting… more
- Molina Healthcare (Rochester, NY)
- …requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy services (such as, therapeutic drug monitoring, ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services / Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- University of Rochester (Rochester, NY)
- …preparations for providers, including but not limited to time and calendar management while optimization of provider patient schedule, coordination of patient care ... the time and effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. + Develops, enforces and continuously… more
- Catholic Charities Family Community Services (Rochester, NY)
- …Day **Description** Under general supervision, provides intake support, ongoing case management and referral coordination services to residential clients. ... **RESTART Intake & Case Management Specialist** **Job Details** **Job Location** Jones House...Coordinates with Intake Manager regarding bed utilization . Effectively supports ongoing and collaborative communication amongst all… more
- Hillside Family of Agencies (Rochester, NY)
- …mission-driven leader responsible for the overall strategic, operational, and financial management of the organization's residential treatment services - ... and support a culture of continuous improvement, evidence-based practices, and service excellence across residential treatment services . + Stakeholder… more
- Ryder System (Rochester, NY)
- …to train!** **This job requires a 4-year college degree** **Summary** The **Operations Management Trainee** will support the shop management process and assist ... requires the Manager Trainee to work cross functionally across Operations, Asset Management , Sales, Quality, and Rental Management . This program is fast-paced… more
- The Gleason Works (Rochester, NY)
- …Corporation is a leader in gear technology. Gleason's product and service offerings include gear and transmission design software, gear manufacturing machines ... within the US locations, including Payroll, Benefits, Recruitment, Performance Management and compliance. Essential Job Functions & Responsibilities: + Ownership… more
- East House Corporation (Rochester, NY)
- …relationships with vendors, contractors, and suppliers to ensure cost-effective and timely services . + Provides consultation to management when requested on the ... individuals on their journey to recovery. We provide comprehensive services , including residential support, counseling, peer support and community outreach… more
- Rochester Institute of Technology (Rochester, NY)
- …conferences and conduct interviews with on- and off-campus media outlets, as a representative of the PASP in order to promote growth & visibility. Operations + ... the cloud-based platform. + Liaise with the Registrar's Office and Enrollment Management to ensure scholars have fulfilled their needed requirements. + Ensure PASP… more
- American Packaging (Rochester, NY)
- …and startup equipment modifications. + Negotiate price and purchase equipment and services as needed. + Draft Capital Expenditure Requisitions - gather information ... expenditure requisitions. + Fill our formal capital expenditure requisitions. + Provide management of the maintenance department as well as outside contractor. +… more
- Villa of Hope (Rochester, NY)
- …with education and experience] DEPARTMENT/PROGRAM: HOPE Recovery CR/Residential Services SUPERVISOR: Director of Behavioral Health Residential Programs JOB ... techniques utilizing accepted practices per Agency policy. + Monitor bed utilization and occupancy and with Director's assistance monitor admission rates and… more