- 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)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... who be licensed in the state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Case Manager 's primary responsibility is to facilitate patient care across the continuum of an assigned number of cases by managing, ... facilitating and monitoring resources to achieve optimal clinical outcomes, utilization of services and financial goals. Oversees the discharge...for all patients within the unit/core service area. The Case Manager is integral to the team… 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
- Molina Healthcare (Syracuse, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... must be licensed for the state they reside. Program Manager RN will be supporting our corporate division with...years in one or more of the following areas: utilization management, case management, care transition and/or… more
- Trinity Health (Syracuse, NY)
- …years Acute Care Setting, 1 year of Community Health preferred. Knowledge of Case Management/ Utilization Management processes **Work Schedule** : Full time, Day ... At **St. Joseph's Health** the **Registered Nurse Inpatient Clinical Care Manager ** assumes the responsibility and accountability for collaboratively managing the… 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 (North Syracuse, NY)
- …and Abilities **Preferred Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional. * Home Care, Long-Term ... years clinical experience with focus in managed care, including disease or case management * UAS experience * Experience conducting home visits Required Licensure… more
- Molina Healthcare (Syracuse, NY)
- …Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) ... needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited… 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