- University at Albany (Albany, NY)
- …research and instructional lab spaces and related facility spaces. The Assistant Director will develop plans to maximize utilization of existing technology ... Promotional Posted On: Tue Aug 5 2025 Job Description: The Assistant Director for IT and Facilities will provide high-level technical, administrative and functional… more
- Arms Acres (Carmel, NY)
- …skills) as identified in patient treatment plans and requested by program director . Performs utilization review, provides progress reports and develop aftercare ... plans in conjunction with referring persons/agencies, EAPs and managed care/insurance entities. Participates in facility program and quality improvement activities. Requirements REQUIRED QUALIFICATIONS: + CASAC-T, CASAC, MSW with limited permit, LMSW, LCSW or… more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... determination of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a professional and… more
- Akin Gump Strauss Hauer & Feld LLP (New York, NY)
- …arrivals and transitions. Talent Management & Development + Work with Director to support workload management/ utilization through ongoing communication with ... in our Client Value & Practice Management department, reporting directly to the Director of Practice Management and Practice Leaders for the Corporate practice. This… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services area ... including, but not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for… more
- Evolent (Albany, NY)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into… more
- Centene Corporation (New York, NY)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... for the business unit. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs… more
- Evolent (Albany, NY)
- …a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and ... training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Molina Healthcare (Albany, NY)
- …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Evolent (Albany, NY)
- …training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way… more