- 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
- BriteLife Recovery (West Kill, NY)
- CASE MANAGER Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it...place to work. What you will be doing? The Case Manager is responsible for providing confidential… 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
- Devereux Advanced Behavioral Health (Red Hook, NY)
- …If you answered YES, then consider joining our Devereux Advanced Behavioral Health team! **Being a Qualified Intellectual Disabilities Professional ... savings! + A rewarding career while making a difference! Devereux Advanced Behavioral Health New York provides programs and services for children and adults with… more
- St. Catherine's Center for Children (Kingston, NY)
- …and kinship caregiving families. Working in a team environment, the PRC Case Manager participates in community outreach activities, completes monthly ... documentation, including various assessment forms and short, targeted service plans. The Case Manager provides 1:1 counseling sessions as needed, and… 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
- 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
- Highmark Health (Albany, NY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Customer Navigation and Service Senior Product Manager defines the vision, strategy and ... optimizing channel connectivity, and enhancing agent tools. The Senior Product Manager will define the product's value proposition, develop a compelling business… 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
- 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
- Gateway Hudson Valley (Kingston, NY)
- …and reporting incidents. Train staff on policy and procedure on how to handle incidents ( health , behavioral , etc.) in the moment and during follow up. + Serve as ... FT Residential Manager - Columbia and Greene Counties Job Details...that require nursing care. Coordinate with the Manger of Health & Nursing Services to ensure continuity of care… 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