Syracuse is a city in Central New York, USA. According to the 2000 census, the city population was 147,306, and its metropolitan area had a population of 732,117. It is the county seat of Onondaga County and the economic and educational hub of Central New York, a region with over a million inhabitants. Syracuse is also well provided with convention sites, with a downtown convention complex and, directly west of the city, the Empire Expo Center, which hosts the annual Great New York State Fair. Syracuse was named after the original Syracuse, a city on the eastern coast of Sicily, Italy.
The city has functioned as a major crossroads over the last two centuries, first between the Erie Canal and its branch canals, then of the railway network. Today, Syracuse is located by the intersection of Interstates 90 and 81, and its airport is the largest in the region.Syracuse is home to Syracuse University, a major research university, as well as several smaller colleges and professional schools.
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Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. **Responsibilities** * Performs telephonic care review and authorization determ
The Case Manager is responsible for outreaching, triaging, assessing, and managing of members referred to Case Management. Responsible for the tracking and managing of members identified as Intensive Case Management (ICM) who may be high risk, high utilizing, at significant clinical risk or under-utilizing services. ###### **Responsibilities ** The main responsibilities of the Case Manager include
Provide overall management and oversight to the office as well as lead contract to our plan. **Responsibilities** * Oversees all operations of the office. * Ensure contractual and delegation agreement compliance. * Responsible for all contractual reporting requirements as outlined in the contract and delegation agreements. * Reporting and analysis of program utilization and related performance ind
**_ABOUT THE POSITION_** We are currently seeking a dynamic Clinical Services Assistant I to join our team at our office in Latham New York. The Document Control Clinical Services Assistant I serves in a support function for non-clinical form processing. **_Position Responsibilities:_** * Determine if forms has all the required fields completed. * Responsible for complete and accurate verification
**_ABOUT THE POSITION_** We are currently seeking a dynamic Care Manager to join our team at our office in Manhattan or Latham, NY. The Care Manager provides assessments, referrals, triage, conducts telephone assessments, collects sufficient data to make appropriate referral and certification decisions for emergency/urgent referrals that require alternate levels of care and makes appropriate certi
**_ABOUT THE POSITION_** We are currently seeking a dynamic Business Systems Analyst to join our team in Latham, New York. Our ideal candidate will be responsible for programming and designing complex data structures in an Oracle Enterprise Data Warehouse as well as using modern Business Intelligence tools to assist in the reporting needs of the organization. **Position Responsibilities:** * Creat
**_ABOUT THE POSITION_** We are currently seeking a dynamic **Vice President, ****Medical Director** to lead our team at our office in Manhattan, NY. The VP, Medical Director will be primarily responsible for overseeing the medical utilization and review process, providing clinical supervision to Peer Advisors and the Associate Medical Director, and collaborating with Care Managers and the Clinica
**_Job Description_** We are currently seeking a dynamic **Financial Analyst I** to join our team at our office in **New York, NY. **The location of candidate selected will determine the office assigned**.** The **Financial Analyst I** will provide analytical and budget support to Operational Managers and Finance. Provide assistance/training in budget/GL systems and budget processes, develop and m
**_ABOUT THE POSITION_** We are currently seeking a dynamic Corporate Business Systems Analyst I to join our team at our office in Latham, New York. The Corporate Business Systems Analyst I will Interface with Service Centers, Corporate Departments, and Development Teams to identify business requirements, develop/implement solutions, and provide service for all Eligibility matters. The position en
**_ABOUT THE POSITION:_** We are currently seeking a dynamic Compliance Director to join our team at our office in Latham, NY. The Compliance Director will be responsible for directing and coordinating the New York efforts to establish and maintain an effective Compliance Program, addressing compliance with governing laws, regulations, policies and contractual obligations. The New York Compliance
**_ABOUT THE POSITION_** We are currently seeking a few dynamic **Peer Advisors** to join our team at our office in **New York City**. The **Peer Advisors** will be responsible for consulting with care managers and care manager supervisors to evaluate appropriateness and level of care for complex or difficult cases. **_Position Responsibilities:_** * Reviews cases using professional knowledge to a
**_ABOUT THE POSITION_** We are currently seeking a dynamic Care Manager to join our team at our office in Latham, NY. The Care Manager will provide telephonic assessment, referrals, and benefit related counseling. **_Position Responsibilities:_** * Completes telephone assessments and referrals; gathers demographic and clinical information to connect patient with appropriate provider, including ou
**_ABOUT THE POSITION_** We are currently seeking a dynamic **Quality Management Specialist I** to join our team at our office in Latham, NY. The QM Specialist I will be responsible for participating in the planning, development implementation, monitoring and analysis of quality management processes and activities. **_Position Responsibilities:_** * Assists with the coordination and management of
**_ABOUT THE POSITION_** We are currently seeking a dynamic Clinical Services Assistant to join our team at our office in Manhattan or Latham, NY. The Clinical Services Assistant screens incoming member and provide calls/inquiries and take data to initiate cases; quotes accurate benefit and policy information on inpatient and alternative levels of care; handles complicated inquiries, educates prov
**_ABOUT THE POSITION_** By interfacing with a variety of personnel and departments both in and outside of the organization develop reporting in both Oracle SQL and SAP Crystal Reports to serve in the analysis of our business as well as meeting client and contractual data requirements. **_POSITION RESPONSIBILITIES:_** 1. Gathers, organizes and analyzes data in support of a variety of projects and
**_ABOUT THE POSITION_** We are currently seeking a dynamic **Associate Medical Director** to join our team at our office in Latham, NY. The Associate Medical Director will be responsible for assisting the Medical Director in the management and supervision of authorization and utilization review processes for mental health and substance abuse services provided in inpatient, alternative and outpati
**_ABOUT THE POSITION_** We are currently seeking a dynamic Account Executive to join our team at our office in Latham, New York The Account Executive ***Position Summary*** Develops a strategic approach to the managenent of corporate accounts obtaining input from senior leadership as needed. Functioning in a leadeship role within the Account Services Department, the Account Executive will assume
**_ABOUT THE POSITION_** We are currently seeking a dynamic **Quality Management Specialist II** to join our team at our office in **Latham, New York**. The **Quality Management Specialist II** will be responsible for coordinating the planning, development, implementation, monitoring and analysis of quality management processes and activities. **_Position Responsibilities:_** 1. Coordinates and ma
**_Position Responsibilities:_** * Maintain professional standards and practice attentive and active listening with a strong focus on establishing a positive rapport with providers. * Perform complete investigation and conduct the necessary follow through on all inquiries regarding the provider nomination and credentialing process. This includes inquiries related to initial applications, exception
**Essential Duties and Responsibilities:** **_Case Management_** Coordinate with other Care Managers to assure that patient comprehensive treatment needs are met. Ensure continuity of patient care through contact with providers. Monitor use of, and regulate release of benefits based on medical necessity. Handle provider calls and assess request for approval of release of benefits. Review and monit