• Mgr Health Insurance & Prior Authorization Spec

    University of Rochester (Rochester, NY)
    …and provide feedback on evaluations for direct and indirect reports. + Review and evaluate proposed promotions or terminations as appropriate. + Participate and ... and reviews timecards for accuracy to assist with payroll processing. + Review department budget for accuracy and provide feedback to increase efficiencies in… more
    University of Rochester (08/07/25)
    - Related Jobs
  • CARE Case Manager, Undergraduate Students

    University of Rochester (Rochester, NY)
    …well-being. The Case Manager exercises independent judgment while coordinating with the Director of CARE, other faculty and staff members, and parents or community ... ODOS teams and events. The Case Manager assists the Director with oversight and administration of the CARE Network...students in need of additional support. + Conduct initial review of CARE referrals using the process of gathering… more
    University of Rochester (08/09/25)
    - Related Jobs
  • Vocational Counselor-PT

    Outreach Development Corporation (Brentwood, NY)
    …Represent the program at agency and county levels as directed by the Site Director . . Implement vocational services and promote utilization of staff that serves ... with regard to tracking, reporting and outcome objectives, including ongoing internal review of service delivery. . Assist with coordination, training and support to… more
    Outreach Development Corporation (08/11/25)
    - Related Jobs
  • Periodontal Clinical Faculty

    Touro University (Hawthorne, NY)
    …techniques. + Assist in solving patient related problems + Assist their CPL or Director in the review within their clinical practice, each student's performance ... Overview Directly reporting to the Director of Periodontics at the Touro College of...case of the community practices, aid in the continual review of student rosters. + In the case of… more
    Touro University (08/08/25)
    - Related Jobs
  • Occupational Therapist

    WMCHealth (Kingston, NY)
    …that performs a functional evaluation of the client; conducts the planning and utilization of a program of purposeful activities; implements the development and ... utilization of a treatment program, and/or consultation with the...subjective and objective information obtained through interview, medical chart review , formal and informal test administration, with appropriate analysis… more
    WMCHealth (06/12/25)
    - Related Jobs
  • Homeownership Counselor

    Community Housing Innovations (Fishkill, NY)
    …before a home purchase contract is signed; affordability may be reviewed by Director + Collect and review all required pre-closing documents: mortgage loan ... process + Prepares fund request for AHC, with Final Review provided by Director . + Prepares CHI's...Business Enterprise (MWBE) regulations are followed (Affirmation of Income, Utilization Plans, EEO reporting). + Maintain the grant wait… more
    Community Housing Innovations (08/08/25)
    - Related Jobs
  • Health Plan Pharmacy Services Manager (SC…

    Molina Healthcare (Buffalo, NY)
    …pharmacy quality, cost effectiveness and compliance and working closely with the Pharmacy Director or AVP to ensure that the Health Plan Pharmacy Program is ... strategy. **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and direction to Centralized Pharmacy Utilization Management team + Acts as liaison to internal and… more
    Molina Healthcare (07/24/25)
    - Related Jobs
  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Jamaica, NY)
    …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the...+ Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic,… more
    Fresenius Medical Center (07/17/25)
    - Related Jobs
  • Nurse Case Manager - Part Time, Days

    Nuvance Health (Poughkeepsie, NY)
    …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190 ... through various affiliates, Position Summary: Under the general supervision of the Director , The Nurse Case Manager role provide clinically-based case management to… more
    Nuvance Health (07/19/25)
    - Related Jobs
  • RN Acute Case Manager - System Care Management…

    Guthrie (Binghamton, NY)
    …(5) years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtain ... spectrum of health and community providers. a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical… more
    Guthrie (05/13/25)
    - Related Jobs