• Monte Nido (White Plains, NY)
    …may substitute leadership experience elsewhere. + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance payers. + Previous ... opportunity for people to realize their healthy selves. **Mental Health Clinical Director ** **Monte Nido Eating Disorder Center of Westchester** **White Plains, NY**… more
    DirectEmployers Association (10/30/25)
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  • MVP Health Care (Rochester, NY)
    …leaders to promote appropriate care quality, service utilization , medication utilization and adherence, care management , and cost control. Through matrixed ... thinking and continuous improvement. To achieve this, we're looking for a Medical Director , Behavioral Health Children's Services , to join #TeamMVP. If you have a… more
    Appcast IO CPA (09/25/25)
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  • Stony Brook University (Stony Brook, NY)
    …Coordinator: investigates issues and presents findings and recommendations to Associate Technical Director SL-5, as assigned. + Conducts monthly review of ... Laboratory sections). Under the direction of TH Assoc Technical Director , she /he will be responsible for oversight of...and LIS (Clinisys & CoPath) order entry and result review screens, new tests additions to the test menu,… more
    DirectEmployers Association (10/28/25)
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  • MVP Health Care (Tarrytown, NY)
    …in every interaction Your key responsibilities: Utilize the essentials of an integrated utilization management and case management model that includes ... of quality cost effective care. The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. Service… more
    Appcast IO CPA (10/15/25)
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  • Red River (Albany, NY)
    **Position Summary:** The Manager, Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... will be responsible for our residents' growth and operational management in the field full-time for the project's duration...field operatives working at a full time, or 100% utilization less time off. + Leverage SKU-based residency services… more
    DirectEmployers Association (10/29/25)
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  • Director -Care Mgmt

    Catholic Health Services (Roslyn, NY)
    …with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, resource ... Overview Director -Care Management Are you exceedingly driven, dedicated, and passionate about caring for your patients? Do you consistently create and nurture… more
    Catholic Health Services (10/10/25)
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  • Treatment Team Leader Developmental Disabilities…

    New York State Civil Service (NY)
    …2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * Please note that starting ... followed. The person will report to and perform other duties as determined by the Director of Quality Management . Will serve as an Administrator on Duty (AOD) on… more
    New York State Civil Service (10/18/25)
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  • Case Manager

    Arms Acres (Bronx, NY)
    …life skills) as identified in patient treatment plans and requested by program director . Performs utilization review , provides progress reports and develop ... drugs. Sign-on bonus eligible FUNCTION: To provide comprehensive clinical case management services that include: assessments; individual, group and family treatment;… more
    Arms Acres (10/08/25)
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  • Substance Abuse Counselor

    Arms Acres (Carmel, NY)
    …life skills) as identified in patient treatment plans and requested by program director . Performs utilization review , provides progress reports and develop ... NY. In this role, you will provide comprehensive clinical case management services that include: assessments, individual, group and family treatment, treatment… more
    Arms Acres (09/19/25)
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  • Utilization Management Reviewer, RN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work...and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating… more
    Excellus BlueCross BlueShield (10/07/25)
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