- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral ... more
- CenterWell (Albany, NY)
- …education spanning onboarding to continuing education. **Role Description** The LCSW Behavioral Health Educator will be embedded within the clinical education team ... more
- Highmark Health (Albany, NY)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
- Highmark Health (Albany, NY)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
- St. Catherine's Center for Children (Menands, NY)
- CASE MANAGER , PROJECT HOST Position : Case Manager...+ budgeting + meal preparation and nutrition + time management + parenting skills + utilization of ... more
- Elevance Health (Latham, NY)
- …telephonic clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... more
- Molina Healthcare (Albany, NY)
- …community and accessing and using durable medical equipment (DME). * Experience in utilization review, concurrent review and/or risk management a plus. * ... more
- CenterWell (Albany, NY)
- …systems to improve staff productivity and workload efficiency. + Project management and problem solving. Solve problems through critical evaluation of data-based ... more
- CenterWell (Albany, NY)
- …by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, and/or ... more