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Monitor aftercare recommendations. 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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The Coming Home program provides a structured, strengths-based community reentry and aftercare continuum for young people, ages 12-18, returning from juvenile detention and residential facilities.
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Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies.
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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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Integrates and coordinates utilization management, care facilitation and discharge planning functions. Familiar with hospital resources, community resources, and utilization management.
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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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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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Drive market-level projects to optimize quality, risk adjustment, utilization management, financial performance, and membership growth. Conduct Quarterly Business Reviews (QBR) covering financial, quality, utilization, and membership metrics.
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Act as a subject matter expert for internal teams on the effective utilization of Broadridge systems for MBS operations. Knowledge of regulatory requirements and industry best practices related to MBS trading operations.
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Overall understanding of Power Plant operations •Ability to effectively supervise, train and direct others (peers, employees, contractors/vendors) in an understandable, clear and consistent manner•Risk management - able to exercise good judgment on the utilization of sometimes limited resources.
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Qualifications/Skill and Abilities:•Bachelor of Science or Engineering, Masters in Business Administration•Minimum of ten years’ experience in technical support of a power plant, gas turbine, or support of processes within a large industrial environment•Thorough understanding of NYISO, NEISO and PJM Processing and procedures.
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Lead the utilization and best practice of Integrated Business Planning (IBP) – demand forecasting module, to drive continuous improvement within the demand planning process. The Inventory and Demand Planning Manager is responsible for leading the Demand Planning Team as well as executing day to day business needs related to demand planning as a working manager.
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The programs administered by ODV include the Domestic Violence Shelter program, the Domestic Violence Hotline, the No Violence Again (NoVA) program, the Domestic Violence Liaison Unit (DVLU) and Anti-Domestic Violence Eligibility Needs Team (ADVENT) , Non-Residential Domestic Violence Services, Alternative to Shelter (ATS) and Domestic Violence Aftercare Program (DVAP), Domestic Violence Intervention Education and Prevention (DVIEP) program, and Teen Relationship Abuse Prevention Program (RAPP.
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VNS Health is seeking a per diem / prn nurse RN Case Management for a per diem / prn nursing job in Manhattan, New York. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Per Diem Provides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients allowing them to remain safely in their home/community.
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Oversee the implementation of the Elsevier Transition to Practice Platform and OVID Synthesis, ensuring effective utilization and user support. Conduct periodic reviews of program resources and budgets, optimizing resource allocation and utilization.
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utilization aftercare jobs Company: Metroplus Health Plan in New York, NY
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