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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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LICENSURE: NYS LMSW/LCSW/LMHC/LCAT required. Current NYS LMSW/LCSW/LMHC/LCAT required. Assist with stabilization, respite, and crisis management, and provide on-call services throughout the evenings and weekends when necessary.
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Monitor aftercare recommendations. Maintain progress notes in case management software. Described jobs may be altered, restructured or deleted at the discretion of management. Qualifications:Certified Alcohol Substance Abuse Counselor Education: CASAC-T, CASAC, BSW a plus Experience: Relevant experience of 3 years or more working with special needs populations (DHS & HASA) Fluency in Spanish a plus.
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Integrates and coordinates utilization management, care facilitation and discharge planning functions. Familiar with hospital resources, community resources, and utilization management.
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Demonstrated leadership experience in BH utilization and care management, particularly for members with Severe Mental Illness (SMI), Substance Use Disorders (SUD), co-occurring physical health issues, and dual disorders of mental health and substance abuse.
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The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse / TH Utilization Review/Quality Assurance Senior Coordinator.
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Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and other Casualty clients. Provides utilization review, continued stay reviews, and utilization management based on clinical judgment and state WCB Medical Treatment Guidelines.
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Drive market-level projects to optimize quality, risk adjustment, utilization management, financial performance, and membership growth. Associate's Degree required; Bachelor's degree or equivalent combination of education, training, and a minimum of 10 years of relevant healthcare industry experience in provider network management and value-based environments.
$161,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Interact with insurance companies for pre-certification and utilization management. Participating in discharge and aftercare planning. Primary Therapist (Part-time) Monte Nido Manhattan Day Treatment, is a primary eating disorder day treatment program exclusively for aadults seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction.
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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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Submit your application now to become a Trash Collector with Waste Management! Waste Management is currently accepting applications for a Trash Collector! Submit your application now to become a Trash Collector with Waste Management.
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A license is required of these Master's Degrees: Social Work (LMSW or LCSW), Mental Health Counseling (LMHC), Counseling/Guidance, Art Therapy). A license is required of these Master's Degrees: Social Work (LMSW or LCSW), Mental Health Counseling (LMHC), Counseling/Guidance, Art Therapy.
$48,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience in secret management solutions including understanding of DevOps (Ansible, Jenkins, Gitlab, Kubernetes, terraforms) and cloud (Azure, AWS and GCP) solutions sets. Privileged access management solutions including design or implementation of PAM technologies (such as CyberArk, BeyondTrust, Delinea, HashiCorp.
$184,800 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing Shift: days Employment Type: Staff RN Case Manager Coordinates the continuum of medical care services for patients to ensure optimum utilization of resources, delivery of quality patient care, and compliance with regulatory, accrediting and contractual requirements.
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Responsibilities: Program Development and Management: Lead the development, implementation, and evaluation of nurse residency programs across various specialties (Med/Surg, Critical Care, Maternal Child Health, NICU, Emergency Services.
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utilization management lmhc aftercare jobs Company: Metroplus Health Plan in Bronx, NY
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