• Community is Everything Help LEAD Yours!-LCSW…

    Samaritan Daytop Village (Queens, NY)
    …facilitates communication between program employees and agency administration. The Program Director will be responsible for census/ utilization management and ... Community is Everything Help LEAD Yours! LCSW Program Director -OASAS Facility Staten Island Social Workers, psychotherapists and...depends on those we employ. The Role The Program Director is responsible for the overall clinical and budget… more
    Samaritan Daytop Village (11/03/25)
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  • Director , HCP Marketing Lead

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …promotional execution, and omnichannel engagement to drive awareness, adoption, and utilization among HCPs. The Director will work cross-functionally with ... **Position Summary** The Director , HCP Marketing Lead guides the healthcare provider (HCP) engagement strategy for Centanafadine, a novel launch product for ADHD.… more
    Otsuka America Pharmaceutical Inc. (11/01/25)
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  • Case Manager

    Arms Acres (Bronx, 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. Attend and/or facilitate Family program. Responds to emergency situations in the facility by following appropriate procedures for ensuring patient safety during… more
    Arms Acres (11/08/25)
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  • Substance Abuse Counselor Casact, LMSW, LMHC, LCSW…

    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
    Arms Acres (11/04/25)
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  • Respiratory Specalist

    Bassett Healthcare (Cooperstown, NY)
    …as a resource for the Respiratory Care Department in absence of supervisor, manager and director + Assists in full utilization of staff working time, based on ... possible. What you'll do Under general supervision by the Supervisor, Manager, and Director of Respiratory Care Services and working closely with the Medical … more
    Bassett Healthcare (10/31/25)
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  • Project Manager, Utilization - MWBE

    New York State Civil Service (New York, NY)
    …if you require an accommodation.BASIC FUNCTION:Under the direct supervision of the Director of Contract Participation, the Project Manager, Utilization , will ... NY HELP No Agency Empire State Development, NYS Title Project Manager, Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS Bargaining… more
    New York State Civil Service (09/04/25)
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  • LPN- Utilization Mgmt Reviewer - Case…

    Guthrie (Cortland, NY)
    Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert Packer ... Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for… more
    Guthrie (10/28/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Albany, NY)
    …heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management opportunity for RNs with a **New York** state licensure. The ... to service requests. Works closely with leadership and Medical Director on member requests. This role is responsible to...unrestricted New York state licensure + 1+ year of Utilization review experience + 1+ year of clinical experience… more
    CVS Health (10/24/25)
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  • Medical Director

    Centene Corporation (New York, NY)
    …+ Board certified in Internal Medicine or Family Medicine preferred + Utilization Management experience and knowledge of quality accreditation standards. + Actively ... practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing… more
    Centene Corporation (11/07/25)
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  • Medical Director , Commercial Line…

    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
    Excellus BlueCross BlueShield (09/30/25)
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