• Care Coordinator RN - Primary Care, Potsdam

    Rochester Regional Health (Rochester, NY)
    …coordination and/or case management experience is desirable. + Experience with Patient-Centered-Medical Home desirable. + Experience with health IT systems and ... to patients and their families. + After assessing the health status of patients, develops, formulates, implements, and revises...+ Promote timely access to appropriate care. + Increase utilization of preventative care. + Reduce emergency room … more
    Rochester Regional Health (05/30/25)
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  • Public Health Navigator, Bureau of Maternal…

    City of New York (New York, NY)
    …a timely manner. - Support marketing and outreach activities to increase visibility and utilization of the CI&R system and home visiting programs. - Participate ... Job Description Public Health Adviser II-51191 Open to candidates who are...vision by supporting and promoting breast/chest-feeding, infant safety, and home visiting services to pregnant and parenting families. DUTIES… more
    City of New York (05/23/25)
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  • Provider Liaison, Bureau of Maternal Infant…

    City of New York (New York, NY)
    …City Department of Health and Mental Hygiene (DOHMH) is expanding home visiting in NYC and streamlining how providers, organizations, and community residents can ... access quality home -visiting services. The goal is to improve maternal and child health and well-being by matching families' assessed risks to evidence-based… more
    City of New York (05/22/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Albany, NY)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health … more
    Evolent (04/30/25)
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  • Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …and support for the development and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH Children's Services has ... Responsibilities/Accountabilities: + Leads, develops, and implements the Children's Behavioral Health Carve-In program following NYS directives and guidelines. +… more
    Excellus BlueCross BlueShield (05/10/25)
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  • Perinatal & Early Childhood Mental Health…

    City of New York (New York, NY)
    …much of NYC's comprehensive network of child and adolescent community mental health services. CYF-DD relies on research and surveillance to guide its decisions ... around service planning, implementation and evaluation and incorporates a health equity lens into its work. CYF-DD oversees a...large DOHMH programs, such as: (a) The New Family Home Visits program that offers support, services and referrals… more
    City of New York (04/23/25)
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  • Medical Director, Safety Net Population

    Excellus BlueCross BlueShield (Rochester, NY)
    …Services area including, but not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, ... Level I + Reviews and makes recommendations and/or decisions on Utilization or Case Management activities. Utilization review activities include:… more
    Excellus BlueCross BlueShield (05/15/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America) ... employers, social work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays… more
    University of Rochester (05/29/25)
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  • Medical Director, MSK Surgery

    Evolent (Albany, NY)
    …for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the SVP, CCO and/or CMO. + ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into… more
    Evolent (05/20/25)
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  • Field Medical Director, Cardiology

    Evolent (Albany, NY)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Director you will be a key member of the utilization management team. We can offer you a meaningful… more
    Evolent (05/16/25)
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