• RN Supervisor Case Management - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible for the… more
    Mohawk Valley Health System (07/09/25)
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  • Medical Director

    Elevance Health (New York, NY)
    …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more
    Elevance Health (08/11/25)
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  • CMSU Research Quality Assurance Coordinator III

    University of Rochester (Rochester, NY)
    …of SOP's, Process orders and CMSS documents. + With oversight from functional manager , conduct review and approvals of Processing Orders and Clinical Material ... to act with minimal guidance in the areas of review and approval of critical documents; SOP's, Process Orders...support to software set-up / model verification in the utilization of ClinPro LBL (TM) computerized clinical label generation… more
    University of Rochester (08/07/25)
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  • Occupational Therapist

    WMCHealth (Kingston, NY)
    …meetings, community programs and performance improvement activities as requested by Manager /Director. Provide training to health care providers as directed ... by manager /director (students, volunteers). + Effectively oversees the care rendered by Certified Occupational Therapy Assistants and Physical Medicine aides. +… more
    WMCHealth (06/12/25)
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  • Registered Nurse - SCHI Triage

    Rochester Regional Health (Rochester, NY)
    …York State. * Basic Life Support (BLS) certification PREFERRED QUALIFICATIONS + Acute care , chart review , utilization , or nursing triage experience strongly ... Clinton Avenue (Hybrid Opportunity available upon completion of orientation/training and manager sign-off) Hours Per Week: 40 Schedule: Monday-Friday 8am-4:30pm or… more
    Rochester Regional Health (08/08/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …+ Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... STGi is currently seeking a Primary Care Physician to provide services at our Community...procedures and suggest improvements. + Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
    STG International (08/08/25)
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  • Advanced Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    care delivery model. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules are ... York providing administrative, technical support, and coordination to the Community Care Manager . Responsibilities Scheduling: Schedules all Community Care more
    Veterans Affairs, Veterans Health Administration (08/10/25)
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  • Executive Director

    Sunrise Senior Living (Mount Vernon, NY)
    …senior living industry in setting standards of excellence; we strive to provide care and services to seniors better than anyone. The Executive Director creates, in ... focused vision, based upon a Resident Centered Model of care . + Model a strong belief in mission, vision,...achieving customer engagement. + Lead the development and regular review of the engagement improvement plan. + Resolve customer… more
    Sunrise Senior Living (05/31/25)
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  • Hyperbaric Oxygen Technologist

    Nuvance Health (Poughkeepsie, NY)
    …Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of ... cardiology care . Non-acute care is offered through various... to an assigned group of patients through the utilization Standards of Practice and policies and procedures and… more
    Nuvance Health (06/11/25)
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  • Medical Director

    STG International (Kingston, NY)
    …and participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... patients of the Veterans Affairs Medical Center (VAMC). This care will be delivered in accordance with the terms...The Medical Director will also collaborate with the Clinic Manager to supervise the CBOC's day-to-day delivery of medical… more
    STG International (07/09/25)
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