• RN Lead, Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …least 4 years experience in health care , and at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required ... by state contract , regulation or state board licensing mandates. If licensed,...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
    Molina Healthcare (09/26/25)
    - Related Jobs

  • System Director, Senior Living

    Compass Group, North America (Manhattan, NY)
    …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... Everything we do means more when it's served with care . The exceptional care and culinary artistry...and the Internet + ServSafe(R) Certified + Certified Dietary Manager certificate or Registered Dietitian preferred **Apply to Morrison… more
    Compass Group, North America (08/15/25)
    - Related Jobs

  • Nurse Practitioner - Adult Medicine

    BMS Family Health and Wellness Centers (Brooklyn, NY)
    …+ Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines. ... (http://maps.google.com/maps?q=592+Rockaway+Avenue+Brooklyn+NY+USA+11212) Job Type Full-time Description Provides adult medical health care services at BMS Health and Main Location, which… more
    BMS Family Health and Wellness Centers (07/08/25)
    - Related Jobs

  • Denials Specialist

    WMCHealth (Hawthorne, NY)
    …Cycle leadership as necessary + Monitors contract compliance and escalates to Managed Care staff as needed + Provides denial trends to Billing Functional ... service satisfaction and quality + Works under the direction of the Denial Manager to analyze denial and underpayment reports, provide feedback on root causes of… more
    WMCHealth (09/12/25)
    - Related Jobs

  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (Buffalo, NY)
    …licensing mandate. + At least 2 years in case, disease or utilization management; managed care ; or medical/behavioral health settings. + One year of training ... for working as a member of an interdisciplinary clinical team. + Educates integrated care teams on effective collaboration to improve member quality of life and to… more
    Molina Healthcare (09/17/25)
    - Related Jobs

  • AEM Frontend Lead

    Capgemini (New York, NY)
    …candidate will have a strong background in front-end development and Adobe Experience Manager (AEM), with the ability to lead a team, translate business requirements ... and enforce coding standards and quality initiatives. + Develop responsive, content- managed websites that function seamlessly across devices. + Write unit and… more
    Capgemini (09/18/25)
    - Related Jobs

  • Shift Supervisor (Springfield Family Residence)

    The Salvation Army (Springfield, NY)
    …assumes the operational management of the facility in the absence of another manager on site and responds to all emergencies. Responsibilities + The Shift Supervisor ... directly to the Senior Shift Supervisor regarding all direct care and/or operational issues and concerns. + The Shift...Shift Supervisor is responsible for ensuring the facility is managed in a safe and orderly manner. + The… more
    The Salvation Army (07/17/25)
    - Related Jobs