• Appeals and Grievances Clinical Specialist…

    Healthfirst (NY)
    …in appeals & grievances, claims processing, utilization review or utilization management / case management . + Demonstrated understanding of Utilization ... **Wednesday-Sunday,** **8am-5pm or** **8:30am-5:30pm** **Duties and Responsibilities:** + Responsible for case development and resolution of clinical cases, such… more
    Healthfirst (09/09/25)
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  • Clinical Transformation Director

    Highmark Health (Albany, NY)
    …groups. Coordinate with internal and external subject matter experts to inform business case assumptions for identifying clinical initiatives to be included in ... and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management & Communication:**… more
    Highmark Health (08/21/25)
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  • Clinical Supervisor - 315 West 35th Street

    Bowery Residents Committee (Manhattan, NY)
    …under the Mental Hygiene Law section 9.58. Participate in the clinical management team, attend clinical meetings, case conferences and other meetings ... DUTIES & RESPONSIBILITIES: Supervision of day to day operations of subway outreach case management team (ILSs team) and individual team members. Oversee… more
    Bowery Residents Committee (06/13/25)
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  • Medical Director - Spine

    CVS Health (New York, NY)
    …members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business ... direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network… more
    CVS Health (08/08/25)
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  • Clinical Social Worker

    Outreach Development Corporation (Brentwood, NY)
    …phone inquiries. + Maintain communication and teamwork with Evening Program staff and case managers to integrate and enhance clinical services. + Submit weekly ... Exciting. High-energy. Rewarding. Outreach is seeking a qualified Full Time Clinical Social Worker to work in our Men's Community Residence located in Brentwood, NY.… more
    Outreach Development Corporation (08/11/25)
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  • Clinical Care Coordinator, Mental Health

    City of New York (New York, NY)
    …inform decision making, advocacy and policy. The Office of Access to Care Referral Management and Case Management Reporting System will oversee the referral ... an individual must be: 1) Licensed as a Licensed Clinical Social Worker (LCSW) and/or Licensed Master Social Worker...sources and other professionals as necessary to inform eligibility, case assessment and consumer assignment. - Monitor a caseload… more
    City of New York (08/13/25)
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  • Clinical Supervisor (Addictions Crisis…

    FLACRA (Clifton Springs, NY)
    …and verbal communication skills + Ability to supervise, motivate, and develop a clinical team + Strong problem-solving, time management , and crisis management ... & Compliance: + Ensure accurate and timely completion of case records and clinical documentation + Maintain...Location Clifton Springs, NY (Onsite) Job Type Health Care, Management , Nonprofit - Social Services Experience Not Specified Date… more
    FLACRA (09/09/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and... Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management more
    Molina Healthcare (08/15/25)
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  • Clinical Research Manager-Psychiatry…

    Mount Sinai Health System (New York, NY)
    …in electronic data capture systems (eg, REDCap, Medidata, or equivalent) and clinical trial management systems (CTMS). * Certification through ACRP, SOCRA, ... **Job Description** The Clinical Trials Manager for Psychiatry works closely with...experience, with at least 2 years in a trials management role, preferably in psychiatry or behavioral health. *… more
    Mount Sinai Health System (08/13/25)
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  • Pharmacist 2, Clinical Specialist - Solid…

    University of Rochester (Rochester, NY)
    …and health-care providers to implement and maintain innovative disease or medication management programs and clinical pharmacy services. Participates in the ... development of global medication use management programs within the University, including clinical ...and APPE rotations as assigned, including providing didactic lectures, case studies and other interactive teaching programs to pharmacy… more
    University of Rochester (08/07/25)
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