• Case Manager, Medicaid Long Term Support Program

    MVP Health Care (Rochester, NY)
    …Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must demonstrate understanding of clinical and psychosocial issues that ... **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment, planning,… more
    MVP Health Care (03/04/25)
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  • Provider Engagement Manager

    Evolent (Albany, NY)
    …providers, with emphasis on driving clinical policy alignment through increased utilization of technology platforms * Educate market providers on the benefits ... and conduct practice meetings with clinical leadership and Evolent leadership to review key performance indicators in relation to program adherence, with a focus… more
    Evolent (05/09/25)
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  • Clinical Assessment RN Manager - Bronx - Full-Time

    FlexStaff (Bronx, NY)
    …(MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management, disease management, utilization review , or quality assurance. + Experience working with frail or ... Clinical Assessment Manager for our client, a non-profit healthcare organization providing home and community- based healthcare and services for the elderly. This… more
    FlexStaff (05/01/25)
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  • Clinical Admissions Facilitator for Sunnyview…

    Trinity Health (Schenectady, NY)
    …the Inpatient Rehabilitation Facility (IRF) setting. Incumbent will be working out of their home based in Western, New York and traveling to area hospitals when ... Pre-Admission Facilitator is responsible for patient assessment for acute rehabilitation based on established criteria of the acute rehabilitation center and with… more
    Trinity Health (03/25/25)
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  • Project Manager I (Medical Policy Team)

    Evolent (Albany, NY)
    …+ Maintain source of truth information related to clinical guidelines application for utilization review requests + Support and maintain information critical to ... We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically for all call center… more
    Evolent (05/06/25)
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  • Clinical Letter Writer - UM & Specialty Experience…

    Evolent (Albany, NY)
    …years of direct clinical patient care + **Minimum one year of experience with Utilization Review (UM) in a managed care environment** + **Cardiology and Oncology ... We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically for all call center… more
    Evolent (04/25/25)
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  • LPN - Nysut (VNA)

    Mohawk Valley Health System (Utica, NY)
    …+ Participates in appropriate agency meetings and the quality improvement and utilization review activities of the organization. + Supports the Agency's ... + Assists in provision of nursing care to the home health patient. Collaborates with the patient's primary case...regulations. + Is flexible to work a varied schedule based on patient needs. + Performs other duties as… more
    Mohawk Valley Health System (03/22/25)
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  • Procurement Coordinator

    City of New York (New York, NY)
    …regular basis. - Communicate with vendors to request required documents, and review submitted documents for completion and compliance with procurement rules and ... portfolio and provide accurate status of procurement actions. - Promote increased utilization of City-Certified M/WBE vendors and assist in the achievement of other… more
    City of New York (04/25/25)
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  • Procurement Coordinator

    City of New York (New York, NY)
    …a regular basis. Communicate with vendors to request required documents, and review submitted documents for completion and compliance with procurement rules and ... order portfolio and provide accurate status of procurement actions. Promote increased utilization of City-Certified M/WBE vendors and assist in the achievement of… more
    City of New York (02/12/25)
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  • Special Assistant

    City of New York (New York, NY)
    …is currently comprised of the following units -The Rental Assistance Programs (RAP), the HOME Tenant- Based Rental Assistance Program ( HOME TBRA), and the ... elected officials. Ensure that PHA completes follow-up procedures when necessary. Review , route and control all correspondence, reports, and written directives, in… more
    City of New York (02/14/25)
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