- 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)
- …(RN) or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and… 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
- 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 ... field is required. + One-Four years of related experience. (Social Worker, Case Worker, Program Manager , Coordinator) Additional Requirements: + Valid New… 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
- Molina Healthcare (Syracuse, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management and/or member… more
- CenterWell (Liverpool, NY)
- …to sit on-site at our Liverpool, NY branch location.** 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
- Molina Healthcare (Syracuse, NY)
- …including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 ... integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). Makes… 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 ... **JOB DESCRIPTION** Program Manager for Healthcare Services available for either RN...years in one or more of the following areas: utilization management, case management, care transition and/or… more
- Molina Healthcare (Syracuse, NY)
- …utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management and/or member ... of care and quality of Molina services provided. + Functions as hands-on manager responsible for supervision and coordination of daily activities. + Ensures adequate… more
- Molina Healthcare (Syracuse, NY)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Lead Pharmacist, Utilization Management (UM) will serve as a team lead...serve as a team lead to support the pharmacy manager in the daily operations of the pharmacy team… 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 (Syracuse, NY)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. +… 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