- Mohawk Opportunities Inc. (Schenectady, NY)
- Case Manager for the Behavioral Health Homes Program Responsibilities of the Case Manager : The Case Manager needs to demonstrate ... focus on making positive connections to coordinate care management services for the Behavioral Health Home clients. Duties include: + Integrating, overseeing and… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within… 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
- CAI (Albany, NY)
- …including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + ... Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...Care Plans + Experience collaborating with PCP's, Occupational Therapists, Behavioral Health , and Providers + Experience with… more
- St. Catherine's Center for Children (Menands, NY)
- …to engage the community's most vulnerable individuals struggling with addiction and mental health issues. The Case Manager will meet individuals "where ... CASE MANAGER , PROJECT HOST Position :... CASE MANAGER , PROJECT HOST Position : Case ...assisting unsheltered individuals to seek shelter, connecting them with behavioral health /substance use treatment, and securing permanent… more
- Whitney Young Health Center (Albany, NY)
- …Nurse Care Manager (RN) will assist in coordination and integration of medical and behavioral health by working with the patient as well as various WYH ... disease registry, HIXNY, Unite Us Referral Platform. + Collaborate with pre/post visit planners, Behavioral Health , Health Home Services as it relates to… more
- Monroe Plan for Medical Care (Albany, NY)
- …and core services are made. Seeks out consultation/information for complex medical, behavioral health or psycho-social needs, as needed.* Recognizes cultural ... Care Manager II - Health Home Summary...Care Manager II - Health Home Summary Title:Care Manager II...often as contacts and actions occur in the members' case and/or as needed for specific program requirements.* Documents… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Care Manager ** This on site position is an ambulatory care registered nurse who will work ... focusing on our Trinity Health medical group patients who are admitted to Samaritan...care, hospital or physician office setting. Preferred Certification in Case Management (CCM). **Experience Requirements:** 5 years of RN… more
- The Salvation Army (Schenectady, NY)
- …experience in serving children and families in child welfare, developmental disabilities, behavioral health , primary health care, or social services* ... we encourage you to apply today! Seeking aFull Time Health Home Care Manager on our Schenectady...discharges/ED visits, ensures preventive medical/dental care, etc.)* Document all case activities in an Electronic Health Record,… 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
- 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 ... guidelines as set forth by the NYS Department of Health , the Health Homes Care Manager...continuity of care. + Documents the delivery of billable health home core services and all other case… more
- Intermountain Health (Albany, NY)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… 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
- LIFEPlan CCO NY (Clifton Park, NY)
- …delivery is built. The Life Plan identifies services that meet medical and behavioral health needs, community, social supports, and other necessary services to ... provide access to high quality healthcare services, inclusive of medical, behavioral health , specialized services. Provides regular communication, monitoring,… 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
- 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
- Equinox, Inc (Albany, NY)
- …agency's quality improvement program + Serves to ensure corporate compliance in behavioral health programming- while protecting patient privacy and safety. ... of the program in the absence of the Program Manager . Essential Duties and Responsibilities: + Establishes and promotes...Corporate compliance in behavioral health is important for protecting patient… 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