• Benefits and Wellness Coordinator

    Fujifilm (Valhalla, NY)
    …of response. + Escalate Tier 2 issues to Benefits Managers, Payroll Administrators via Case Management or immediately, if necessary. + Log cases and activity to ... **Position Overview** Reporting to the Benefits Manager , the Benefits and Wellness Coordinator must be...the case management system on a timely basis.… more
    Fujifilm (07/03/25)
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  • Associate Medical Director - Orthopedic Spine

    Elevance Health (Latham, NY)
    …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer… more
    Elevance Health (07/12/25)
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  • Assistant Program Director-(DHS) Casa Hope

    Comunilife (Queens, NY)
    …for itsSanctuary program in Queens, Casa Hope.As a member of the Comprehensive Case Management (CCM) Team, The Assistant Program Director is responsible for ... operations including staff supervision and collaboration with on-site building manager at the Casa Hope Program. With collaboration with...lead the team in proving a full range of case management services as well as medical,… more
    Comunilife (06/21/25)
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  • Fair Hearing Process Coordinator

    City of New York (New York, NY)
    …appropriate. Report operational and system concerns and issues to the Assistant Program Manager to ensure effective utilization of resources. - Review and audit ... CPRU and SEPU. It is also responsible for processing case actions on IREA cases sent to the automated...York City Work Accountability & You (NYCWAY) system, Welfare Management System (WMS), and Fair Hearing Information system to… more
    City of New York (06/08/25)
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  • Residential Assistant

    DePaul (Rochester, NY)
    …Under the direction of the Residence Manager , this role assists with the case management , care and training to residents. (Does not involve a case ... Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all...routine visits and are available 24-hours a day in case of an emergency. Benefits This position is eligible… more
    DePaul (06/03/25)
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  • MDS Director RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in… more
    Glengariff Rehabilitation and Healthcare Center (06/26/25)
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  • Associate Medical Director- Sleep Medicine

    Elevance Health (New York, NY)
    **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management / Utilization ** **Review** ... Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more
    Elevance Health (07/04/25)
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  • Account Service Consultant I/II (Buffalo/WNY…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …descriptions, Member Contracts, Group Agreements, etc. + Partners with Project Management team to support vendor relationships and conversations related to ... and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities)...reports and operating manuals. + Assists in obtaining financial, utilization and ad hoc reports as requested. + Creates… more
    Excellus BlueCross BlueShield (06/24/25)
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  • Scrum Master

    Global Foundries (Malta, NY)
    …motivated and experienced Scrum Master to join our dynamic IT Project Management team. The ideal candidate will be responsible for facilitating Agile practices, ... empowering teams to self-organize and deliver high-quality results. + Sprint Management : + Facilitate all Scrum ceremonies including Sprint Planning, Daily… more
    Global Foundries (06/06/25)
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  • Cardiac PET Physician Outreach Specialist

    GE HealthCare (NY)
    …and shared volume targets. Along with your Cardiac PET Account Manager , conduct regular business analyses of the local market-customers, payers, competition, ... and appropriately impact the decision-making criteria to help increase awareness and utilization of Flyrcado in line with the approved PI. + Understand product… more
    GE HealthCare (06/04/25)
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