• Appeals Manager

    BronxCare Health System (Bronx, NY)
    …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with...work. On the job or formal training in certified case management , denial and appeals management more
    BronxCare Health System (11/15/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via ... with barriers to care * Prior experience with Care Management or Utilization Management *..._ * _ _Bilingual_ _ * _ _Certified in Case Management , UM, Quality, Risk or MCG_… more
    Stony Brook University (12/20/25)
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  • Health Home Care Manager II

    HCR Home Care (Canton, NY)
    …using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home ... Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care..., capable of exceeding the basic tenants of care management . Essential Functions + Actively and progressively care manage… more
    HCR Home Care (10/18/25)
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  • Care Coordination Manager (Registered…

    Crouse Hospital (Syracuse, NY)
    …day management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... Crouse's Care Coordination team is hiring a Care Coordination Manager who is responsible for providing day to day...State + Bachelor's degree + Five (5) years previous case management / discharge planning in an acute… more
    Crouse Hospital (12/11/25)
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  • Account Manager - TEPEZZA -Queens/Long…

    Amgen (Long Beach, NY)
    …awareness and product information to support optimal patient care. As an Account Manager , you will drive product utilization while identifying and addressing the ... ability to travel (drive and/or fly) frequently within territory is required. **Account Manager ** **Live** **What you** **will do** Let's do this. Let's change the… more
    Amgen (11/08/25)
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  • Program Manager - Community Prevention…

    Whitney Young Health Center (Albany, NY)
    …the monitoring and reporting of statistical information and programmatic outcomes. The Program Manager will attend trainings required for the management of goals ... Program Manager - Community Prevention and Treatment Services (HIV)...signs off on initial assessments, re-assessments, service plans and case closures. Performs periodic chart audits. + Works with… more
    Whitney Young Health Center (01/03/26)
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  • Care Manager - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …area preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits ... Crouse's Care Coordination Services team is hiring a Care Manager to review the services delivered to patients and...maintaining the quality of care. + Participates in the utilization management process using standards of care… more
    Crouse Hospital (12/31/25)
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  • Territory Manager - Nassau Winthrop

    ZOLL Medical Corporation (Mineola, NY)
    …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
    ZOLL Medical Corporation (12/30/25)
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  • Sr Manager Clinical UM Operations

    Healthfirst (NY)
    **Duties/Responsibilities:** + Provide strategic oversight and operational management for all utilization management functions, including prior ... audits, performance improvement plans, and corrective actions related to utilization management + Foster a culture of...Long-Term Care Plan (MLTCP) + Experience working as a case manager for a long-term care programs… more
    Healthfirst (11/27/25)
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  • Associate Manager , NCS Field Operations…

    Globus Medical, Inc. (New York, NY)
    …across your team through effective goal setting, action planning, and performance management . Track and measure achievement of utilization and business growth ... and alerts throughout the procedure. **Position Summary:** The Team Manager , IOM is a leadership role within NuVasive Clinical...needed. + Profitably grow the territory: + Ensure 100% case coverage through oversight of the case more
    Globus Medical, Inc. (11/15/25)
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