- Elevance Health (Latham, NY)
- …work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Case Manager II- Telephonic** ... ** Behavioral ** ** Health Case Manager II - Telephonic** **Required Work Hours** : Monday - Thursday: 11:30am - 8pm Eastern Time and Fridays 10:30am - 7pm… more
- Elevance Health (Latham, NY)
- …autism and depression, and insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager II **Candidates must posses ... 8:00am - 5:30pm EST **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager II is responsible for managing… more
- Highmark Health (Albany, NY)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …Preferred Experience - BSN 3-5 years current or recent Behavioral Health /Psychiatric Nursing experience Previous supervisory and leadership ... application. Former EDRP participants ineligible to apply. Responsibilities The Nurse Manager (NM) is the designated first-line supervisory authority and is… more
- Molina Healthcare (Albany, NY)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- Trinity Health (Rensselaer, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** **RN Care Manager ** **Full time** **Hybrid/Remote options once trained** **Local candidates only** ... an ambulatory care registered nurse who will work focusing on our Trinity Health medical group patients. This position will focus on patients with multiple chronic… more
- St. Catherine's Center for Children (Albany, NY)
- …coordination, and community linkage to Medicaid eligible children with complex physical and behavioral health conditions and their families. The aim is to ... CARE MANAGER , HEALTH HOMES Program : Community...CARE MANAGER , HEALTH HOMES Program : Community Outreach & Care...continuity of care. + Documents the delivery of billable health home core services and all other case… more
- Highmark Health (Albany, NY)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- Highmark Health (Albany, NY)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Highmark Health (Albany, NY)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Whitney Young Health Center (Albany, NY)
- …perspective and consultation on program implementation. Peer support services are distinct from case management, behavioral health and substance use disorder ... CPTS Program Manager + Support the medical case manager in developing a comprehensive treatment...HCV; Must be a current or past participant of behavioral health , substance use, co-occurring behavioral… more
- Elevance Health (Latham, NY)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and...the member's needs, with the goal of optimizing member health care across the care continuum. **How you will… more
- Elevance Health (Latham, NY)
- …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Latham, NY)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation… more
- Highmark Health (Albany, NY)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Northern Rivers Family Services (Albany, NY)
- …evaluation and treatment plan of care for the physical and behavioral /emotional health of the residents + Case management of outside provider visits (medical ... care and services to a youth and adolescent population with emotional, behavioral and physical needs using the nursing process (assessing, diagnosing, planning,… more
- Molina Healthcare (Albany, NY)
- …and Abilities **Preferred Qualifications:** * Bachelor's degree in Nursing * CCM- Certified Case Manager , CCP - Chronic Care Professional. * Home Care, Long-Term ... **Job Description** **Job Summary** Responsible for the completion Community Health Assessment (CHA) formerly the UAS (Uniform Assessment System) Initial Assessments… more
- Northern Rivers Family Services (Albany, NY)
- …evaluation and treatment plan of care for the physical and behavioral /emotional health of the residents + Case management of outside provider visits (medical ... care and services to a youth and adolescent population with emotional, behavioral and physical needs using the nursing process (assessing, diagnosing, planning,… more