• Care Coordinator RN TRI PC Orchard Park

    Catholic Health (West Seneca, NY)
    …of (1) year experience as a registered nurse required + One (1) year previous case , disease, or utilization management experience preferred + One (1) year ... illness, improve compliance with evidence based clinical guidelines, encourage patient self- management , increase coordination of care, increase the utilization … more
    Catholic Health (09/04/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (New York, NY)
    …and Experiences:** + Child and Adolescent experience strongly preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
    Elevance Health (09/10/25)
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  • Program Director-(DHS) Casa Hope

    Comunilife (Queens, NY)
    …Directorfor its Casa Hope Families Shelter program. As a member of the Comprehensive Case Management (CCM) Team, The Program Director is responsible for daily ... operations including staff supervision and collaboration with on-site building manager at the Casa Hope Program. The Program Director...lead the team in proving a full range of case management services as well as medical,… more
    Comunilife (08/16/25)
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  • Sales Consultant, Early Intervention (Bronx,…

    J&J Family of Companies (White Plains, NY)
    …This includes working with Surgeons, Office Staff, Administration, Pain Management Specialists and Rheumatologists throughout various aspects of the product ... product and customer knowledge to present, demonstrate, and ensure proper utilization of products. Actively promote special marketing promotions and support… more
    J&J Family of Companies (09/26/25)
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  • Program Director - Children's Crisis Residences

    YAI (Manhattan, NY)
    …procedures and required staffing and resources, with an emphasis on team management , development and establishment of standards of performance and measures of ... and/or regulations including, but not limited to medical and medication management records and auditing, treatment records, progress, behavior and incident reports,… more
    YAI (09/17/25)
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  • Pilots Associate (LACI BATWorks, NYC)

    LACI (New York, NY)
    …KPIs; at times, independently collect and assess pilot quantitative and qualitative utilization data to track progress. Work with innovators and partners to adjust ... and learnings, which will result in a brief pilot case study as a supportive deliverable for companies participating...have: + BA/BS degree in relevant field + Project Management : 3-5 years related project management work… more
    LACI (09/21/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Rochester, NY)
    …Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint… more
    Molina Healthcare (09/20/25)
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  • Assistant Program Director-(DHS) Casa El Faro

    Comunilife (Bronx, NY)
    …the Bronx in January 2024, Casa El Faro. As a member of the Comprehensive Case Management (CCM) Team, The Assistant Program Director is responsible for assisting ... operations including staff supervision and collaboration with on-site building manager at the Casa El Faro Program. With collaboration...lead the team in proving a full range of case management services as well as medical,… more
    Comunilife (09/12/25)
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  • Director, Health and Welfare

    NBC Universal (New York, NY)
    …employee engagement to promote prevention, primary care and effective chronic condition management as an integral part of Versant's overall health care benefits ... Develops innovative approaches to expand and transform the engagement and cross utilization of benefits and services leading our health advocacy and navigation… more
    NBC Universal (09/30/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Rochester, NY)
    …Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional in ... of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals.… more
    Molina Healthcare (09/06/25)
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