• Medical Director - Medical Oncology

    Elevance Health (New York, NY)
    **Clinical Operations Medical Director** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
    Elevance Health (11/14/25)
    - Related Jobs
  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …Coordination Specialist provides administrative support for any of the programs of Utilization Management , Behavioral Health, Quality Management , or Member ... tasks under pressure. + Demonstrates proficiency in basic navigation and utilization of department specific applications: care management system, department… more
    Excellus BlueCross BlueShield (10/21/25)
    - Related Jobs
  • MTS TD Silicon Photonics Device Engineer

    Global Foundries (Malta, NY)
    …design experience using GF PDK + Silicon Photonic simulation experience + Project management skills - ie, the ability to innovate and execute solutions that matter; ... automatically populate in every external job description. The Hiring Manager only needs to provide the above pieces of...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
    Global Foundries (11/06/25)
    - Related Jobs
  • Patient Care Coordinator

    Kaleida Health (Buffalo, NY)
    …acute care Nursing Experience required. 2 years of experience in any combination of case management , home care and utilization review preferred. Knowledge of ... outcomes for the patient in the acute care setting. Case management is a process that efficiently...five (5) years of hire to the position. Certified Case Manager (CCM) preferred. Employees in the… more
    Kaleida Health (10/19/25)
    - Related Jobs
  • LTSS Service Coordinator - Community RN (UAS)

    Elevance Health (New York, NY)
    …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
    Elevance Health (10/04/25)
    - Related Jobs
  • PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …prior experienceparticipatingin teams focusing on transitions of care, quality management ,utilizationmanagement, case management , discharge planning and/or ... of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management , including familiarity with social determinants of health.… more
    CenterWell (11/06/25)
    - Related Jobs
  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. *… more
    Molina Healthcare (11/14/25)
    - Related Jobs
  • Medical Review Nurse (RN)

    Molina Healthcare (Buffalo, NY)
    …(CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS)… more
    Molina Healthcare (10/18/25)
    - Related Jobs
  • LMSW or LCSW - Acute Care

    Bassett Healthcare (Cooperstown, NY)
    …and elder abuse and neglect, domestic violence and complex care management (when appropriate). Adherence to established Psychiatry Department protocols and (OMH) ... providers to coordinate treatment plan goals and objectives . Participates in case conference treatment team meetings . Treats patients, colleagues, and other staff… more
    Bassett Healthcare (11/05/25)
    - Related Jobs
  • Cardiology Medical Director

    Elevance Health (New York, NY)
    …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
    Elevance Health (11/12/25)
    - Related Jobs