• Registered Nurse - Clinical Care Manager,…

    Trinity Health (Syracuse, NY)
    …practice guidelines, a patient advocate who ensures optimal communication, appropriate use of clinical resources and management of patient flow. **What you ... and family education regarding care plans, discharge instructions, and available resources . + Documents case management activities accurately and thoroughly… more
    Trinity Health (07/26/25)
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  • Manager, Clinical Data Acquisition (Remote)

    Molina Healthcare (Albany, NY)
    …information from multiple sources, including claims/encounters, pharmacy, utilization management , clinical indicators, industry benchmark, and/or survey/vendor ... surveys and federal/state QI compliance activities. **Job Duties** + The Mgr, Clinical Data Acquisition uses knowledge, skills and technical expertise to manage the… more
    Molina Healthcare (08/31/25)
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  • Field Medical Director, Pain Management

    Evolent (Albany, NY)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of ... is needed or required. Aids and acts as a resource to Initial Clinical Reviewers. **What You...You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management , reviewing… more
    Evolent (08/20/25)
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  • Staff VP Specialty Pharmacy Clinical…

    Elevance Health (New York, NY)
    …role oversees include case management , prescription verification, care management , nursing, and clinical program development. **Position Responsibilities** + ... pharmacy, which includes a minimum of three years of management experience leading clinical professionals; or any...purchase plan, life insurance, wellness programs and financial education resources , to name a few. Elevance Health operates in… more
    Elevance Health (08/27/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …continuum of care plan for patients, based on assessed needs and available resources . The Acute Case Manager monitors clinical approaches and make ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more
    Guthrie (08/27/25)
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  • Clinical Director

    Project Renewal, Inc. (Bronx, NY)
    …and the Department of Housing (HRA) and Urban Development (HUD). + Direct clinical supervision of case management staff, which also includes providing on-going ... T Title: Clinical Director Program: Bedford Green House Phase II...NYC Dept. of Health and Hygiene, ESSHI, and Human Resources Administration, Bedford Green House supports and encourages a… more
    Project Renewal, Inc. (08/02/25)
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  • Clinical Program Manager (RN/NP Required)…

    Mount Sinai Health System (New York, NY)
    … Clinical Trials Office (TCI CCTO). In collaboration with the disease management team, clinical trials investigators, and TCI CCTO Administration; this ... recorded on study worksheets. + Provides in-service training and serves as a resource to other clinical personnel including physicians, nurses, pharmacists, and… more
    Mount Sinai Health System (06/25/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …Hearing 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...on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies… more
    Molina Healthcare (08/15/25)
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  • Clinical Transformation Director

    Highmark Health (Albany, NY)
    …large-scale programs. Manage, through collaboration, the day-to-day team activity of other clinical resources deployed to support the anchor, including MAQCs and ... pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management & Communication:** Ensure… more
    Highmark Health (08/21/25)
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  • Oncology Early Stage Clinical Scientist…

    Pfizer (New York, NY)
    …the GDL, Clinical Safety, and Biostatistics. + Serve as technical resource for clinical issues raised by internal and external collaborators, investigators, ... Experience working with and solid understanding of related disciplines, eg, Clinical Operations, Safety, Biostatistics, Regulatory, Study Management , Pre-… more
    Pfizer (08/21/25)
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