- Molina Healthcare (Yonkers, NY)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Molina Healthcare (Yonkers, NY)
- …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
- BriteLife Recovery (Englewood, NJ)
- …in utilization review, case management , or insurance coordination in a behavioral health or substance use treatment setting. + Knowledge of ASAM criteria ... and a working knowledge of insurance guidelines specific to behavioral health What tasks are required? +...Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in… more
- MVP Health Care (Tarrytown, NY)
- …and continuous improvement. To achieve this, we're looking for a **Medical Director, Behavioral Health Children's Services** , to join #TeamMVP. If you have ... reviews. Lead's MVP's efforts to collaborate in person and virtually with behavioral health network providers and facilities around clinical determinations,… more
- CVS Health (Passaic, NJ)
- …members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , clinical ... judgment and critical thinking skills in order to facilitate appropriate physical, behavioral health , psychosocial wrap around services. The care manager will… more
- Molina Healthcare (Yonkers, NY)
- …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management … more
- Molina Healthcare (Yonkers, NY)
- …**_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more
- Shrub Oak International School (Mohegan Lake, NY)
- …LCAT in good standing required + At least 3 years' experience in a behavioral health , residential, or educational setting conducting mental health / ... is a licensed professional who will provide expertise in behavioral science and mental health related services,...and will be directly involved with the implementation and utilization of DBT as a core component of treatment.… more
- City of New York (New York, NY)
- …data management , stakeholder collaboration, and capacity building to enhance behavioral health services for pregnant and parenting caregivers. Job Duties ... tools. Program Strategy & Service Expansion - Lead the expansion of behavioral health services for pregnant and parenting caregivers, integrating substance… more
- Elevance Health (New York, NY)
- …law._ The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... an equivalent background. * _For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5 years of experience providing … more
- Elevance Health (Yonkers, NY)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate… more
- Project Renewal, Inc. (New York, NY)
- …care screenings, substance abuse treatment programs and treatment of chronic disease and behavioral health . Tasks include, but are not limited to: + Expanding ... with clinical staff and collaborative partners to provide administrative and relationship management support to Project Renewal's Mobile Health Program. Working… more
- Mount Sinai Health System (New York, NY)
- …department's performance improvement activities 12. Maintains patient/employee confidentiality in the management of information 13. Observes the Health Care ... **Job Description** The Nurse Manager is responsible for the management of nursing practice and operations on a designated...Licensed as a registered nurse, Issuing Agency: Department of Health /Office of Professions in the state of New York.… more
- Breaking Ground (New York, NY)
- …determine homelessness history, services needed, and appropriate placement options. The Community Health Specialist ensures the utilization of Harm Reduction and ... structures including Housing First, client centered motivational interviewing, Harm Reduction models, behavioral and medical health systems, and the ability to… more
- CVS Health (Paterson, NJ)
- …of health service strategies. This includes utilization management , quality improvement, and coordination of physical, behavioral , and psychosocial ... At CVS Health , we're building a world of health...reimbursement policy **Preferred Qualifications** + LTSS experience + Case management and/or discharge planning experience + Managed Care experience… more
- YAI (Manhattan, NY)
- …which will provide 24/7 person-centered, trauma-informed residential services for children with behavioral health challenges, who are in crisis. Determines and ... required staffing and resources, with an emphasis on team management , development and establishment of standards of performance and...intervention and therapeutic services to children with mental or behavioral health needs, ideally in a New… more
- Elevance Health (Hackensack, NJ)
- …identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... the health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will be based upon the current needs… more
- Molina Healthcare (Yonkers, NY)
- …proficiency. **Preferred Qualifications** * Utilization management , care management , behavioral health and/or long-term services and supports ... * At least 2 years health care experience, preferably in utilization management , care management , and/or managed care, or equivalent combination of… more
- Molina Healthcare (Yonkers, NY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.… more
- City of New York (New York, NY)
- …sources to rapidly identify and intervene to support VPS clients with complex behavioral health and/or medical issues, such as co-occurring substance-use and ... at risk of homelessness. Projects may include client linkage to case management services, medical/mental health /substance use treatment, or linkage to… more