• Medical Director - Pharmacy Appeals

    Humana (Albany, NY)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , or similar activities **Preferred ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization management experience… more
    Humana (12/03/25)
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  • Director of Care Coordination

    Crouse Hospital (Syracuse, NY)
    …licensed as a Registered Professional Nurse in New York State. + Recent acute care Utilization Management and Case Management experience. + Current ... outreach programs. Crouse's Care Coordination team is hiring a Director of Care Coordination. Pay Range: $150,000.00 - $180,000.00...certification in Case Management (CCM or ACM) and/or Health Care Quality (CPHQ)… more
    Crouse Hospital (09/18/25)
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  • Nurse Case Manager - Full Time, Day/Eve

    Nuvance Health (Poughkeepsie, NY)
    …of the Director , The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... Paces the case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for… more
    Nuvance Health (12/04/25)
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  • Associate Clinical Director

    Villa of Hope (Rochester, NY)
    …related services they may enroll in at Villa of Hope (Clinic, Health Homes/Care Management , etc.). The Director operates the program in alignment with Value ... JOB TITLE: Associate Clinical Director (member of Operational Leadership Team) POSITION GRADE:...is responsible for leading and managing regulatory compliance, risk management , staff development, milieu treatment, and program budget in… more
    Villa of Hope (11/19/25)
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  • Program Director -(DHS) Casa Hope

    Comunilife (Queens, NY)
    …Hope Families Shelter program. As a member of the Comprehensive Case Management (CCM) Team, The Program Director is responsible for daily administrative and ... regulations and deliverables, quality provision of services, and budget management . The Program Director will lead the...lead the team in proving a full range of case management services as well as medical,… more
    Comunilife (11/15/25)
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  • Director of Vocational & Employment…

    The Arc Erie County NY (Buffalo, NY)
    …Services and Community Supports arrange for needed revisions in budget with Director of Business Management + Coordinates activities of Vocational Employment ... serve. + Monitors implementation of service plans through regular records and utilization of review, case conferences, consultations, and supervision. + Facility… more
    The Arc Erie County NY (11/19/25)
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  • Director Of The Jcc

    City of New York (New York, NY)
    …comprehensive and actionable deliverables. - Represent the unit at interdisciplinary case management meetings, driving collaborative efforts to address complex ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES CIVIL SERVICE TITLE OR BE...and DOB, to ensure strategic alignment and effective resource utilization . - Ensure robust field supervision systems are in… more
    City of New York (11/19/25)
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  • Case Manager (RN)

    WMCHealth (Suffern, NY)
    …on predetermined quality and outcome indicators developed by the medical staff, case management director and administration. + Provides orientation/mentoring ... (RN) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health System. This… more
    WMCHealth (11/06/25)
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  • Business Analysis Associate Director

    Wolters Kluwer (New York, NY)
    …with both business and technology stakeholders. In this role, you will report to the Director , Project and Program Management and work a hybrid schedule (2 days ... produce better business outcomes. As the, **Business Analysis Associate Director , Portfolio Governance and Reporting,** you are responsible for...Finance Team to create and maintain mechanism for business case review and management as part of… more
    Wolters Kluwer (11/18/25)
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  • Case Manager RN - Per Diem

    Nuvance Health (Carmel, NY)
    …care and navigation services, and the patient and family/caregiver. 7. Case Management facilitates daily Multi-Disciplinary Rounds (MDRs) incorporating ... (if not captured by another Care Transitions Team member), case management assessments, and care plans in...affecting patient flow, patient satisfaction, safety, length of stay management , or outcomes to the department director more
    Nuvance Health (11/18/25)
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