• Respiratory Specialist

    Bassett Healthcare (Little Falls, NY)
    …as a resource for the Respiratory Care Department in absence of supervisor, manager and director + Assists in full utilization of staff working time, based ... What you'll do Under general supervision by the Supervisor, Manager , and Director of Respiratory Care Services...of respiratory therapy. (Measured by student assessments and leadership review ) + Therapy recommendations for patient care .… more
    Bassett Healthcare (10/29/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    care manager 's supervisor, as needed, at the time of the annual performance review + Non- care manager support staff duties may include: + Requesting ... Utilization Management, Behavioral Health, Quality Management, or Member Care Management. This position acts as a resource for...to non- care managers are monitored by the care manager + The care more
    Excellus BlueCross BlueShield (10/21/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Syracuse, NY)
    …Qualifications * Experience with utilization /quality program management. * Managed care experience. * Peer review experience. * Certified Professional in ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health...Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager more
    Molina Healthcare (11/24/25)
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  • Medical Director - Medical Oncology

    Elevance Health (New York, NY)
    …+ Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care . + Participate on committees ... an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and supportive care . + Perform… more
    Elevance Health (11/14/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …the Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an ... caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director,… more
    CenterWell (11/06/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), ... guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality and… more
    Molina Healthcare (11/14/25)
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  • 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 (10/07/25)
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  • Case Management Supervisor - 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, process and ... responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision… more
    Mohawk Valley Health System (11/21/25)
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  • Admissions/Discharge Nurse

    Bassett Healthcare (Cooperstown, NY)
    …than 2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review + Directs and supervises patient care provided by LPNs and ... The Discharge Nurse is accountable for the delivery of safe patient care utilizing the nursing process. The Discharge Nurse assesses, plans, delivers, coordinates,… more
    Bassett Healthcare (11/03/25)
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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 (09/12/25)
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