- Humana (Albany, NY)
- …of our caring community and help us put health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market ... team. The UM Coordinator provides non-clinical support for policies and procedures related...for policies and procedures related to the administration of utilization management , ensuring the best and most… more
- Elevance Health (Latham, NY)
- …**LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Health Home Care Coordinator - Troy NY - Full Time Days - $5,000. sign-on bonus We are looking ... an energetic individual to join our Health Home Care Management Team! The ideal candidate will be someone who...preventative care to reduce preventable emergency department and inpatient utilization , as well as an opportunity to address any… more
- Elevance Health (Latham, NY)
- **LTSS Service Coordinator - Auditor (Remote)** **Location:** While remote, candidates will ideally be located within 50 miles of one of our Elevance Health ... PulsePoints. The **LTSS Service Coordinator -Auditor** is responsible for auditing member individual service plans within the scope of position, as required by… more
- Hudson Valley Community College (Troy, NY)
- …team and continue to build on decades of successful service to our community. Coordinator of Academic Services HV-NTP-8828 In order to be considered an applicant for ... degree and five (5) or more years of experience with project management and/or managing contracts and/or research/report writing in a post-secondary environment are… more
- Trinity Health (Troy, NY)
- …High-Need Seriously Mentally Ill population. The Health Home Plus (HH+) Transitions Coordinator is responsible for acting as a bridge between health care providers, ... the promotion of preventative care to reduce preventable emergency room and inpatient utilization , as well as an opportunity to address any social influencers of… more
- Sunrun (Albany, NY)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Albany, NY)
- …for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is ... documentation including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement to… more
- Sunrun (Albany, NY)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- Holcim US (Ravena, NY)
- …of the Company's cement products. The individual oversees equipment optimization, utilization and reliability in a safe manner while maintaining environmental ... develops subordinates, and administers prevailing labor agreement. * Optimizes equipment utilization in cooperation with the process and maintenance departments. *… more
- Trinity Health (Troy, NY)
- …for development and implementation of quality improvement initiatives, fiscal controls, management of capital resources, formulary management , and risk ... within settings that provide a depth of clinical, medication distribution, and management needed for oversight. 7) Skills required: a. Analytical skills necessary to… more
- St. Catherine's Center for Children (Hudson, NY)
- …+ home maintenance + budgeting + meal preparation and nutrition + time management + parenting skills + utilization of community services + tenant ... in the first place. These issues may include areas of finance management , referrals for substance abuse, mental health counseling, parent support assistance,… more
- St. Catherine's Center for Children (Albany, NY)
- …Residential Case Manager (RCM) acts as the primary case manager and care coordinator for children placed in residential care. This case manager coordinates the ... with internal agency and external regulations. + In conjunction with the House Management Team, develop and maintain a therapeutic environment at the site. +… more
- CDPHP (Albany, NY)
- …across all phases of workplace wellness programs including planning and management , implementation, and assessment and evaluation. Working closely with the Sales ... settings. Regular reporting, analysis and evaluation of programs, health assessment, utilization and employee survey data, or other data is required. Qualifications:… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and judgment and ... ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance. Learn more Requirements Conditions of Employment US… more