• Disease Management Nurse - Remote

    Sharecare (Albany, NY)
    …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager... Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
    Sharecare (07/12/25)
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  • Customer Success Specialist - Healthcare…

    Wolters Kluwer (New York, NY)
    …important contributor within a multifunctional team to deliver on success and meaningful utilization of the CE product suite. You will be responsible for new product ... deployment and performance optimization efforts under the direction of Customer Success Management and Sales to ensure that customer needs are identified and… more
    Wolters Kluwer (07/18/25)
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  • Operations Management Trainee - Fleet…

    Ryder System (Rochester, NY)
    …to train!** **This job requires a 4-year college degree** **Summary** The **Operations Management Trainee** will support the shop management process and assist ... cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management more
    Ryder System (07/15/25)
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  • Coordinator Integrated Disability…

    Catholic Health (Buffalo, NY)
    …health related, human services or legal field preferred + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), and/or claim adjuster ... Work Schedule: Days Hours: 8am-4pm Summary: The Coordinator, Integrated Disability Management (IDM) position is responsible for monitoring and aggressively managing… more
    Catholic Health (06/12/25)
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  • Bleeding Management Hospital Specialty…

    Grifols Shared Services North America, Inc (New York, NY)
    …practice. + Utilization of corporate resources including the Key Account Manager , Managed Markets, Marketing, MSL, etc. + Key Opinion Leader mapping and ... countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key… more
    Grifols Shared Services North America, Inc (07/08/25)
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  • Formulary Operations Management

    CenterWell (Albany, NY)
    …Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ... belt certification + Three years' experience in pharmacy benefits management + Three years of experience in a health...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (07/19/25)
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  • Medical Director, MSK Surgery

    Evolent (Albany, NY)
    …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
    Evolent (05/20/25)
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  • Senior Resource Coordinator

    Cherry Bekaert (Albany, NY)
    …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... that develop within the area. You will continuously communicate with management regarding future needs versus availability, potential staffing issues, and other… more
    Cherry Bekaert (07/16/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other ... 3 years acute hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience preferred. + Bachelor's… more
    Rochester Regional Health (04/26/25)
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  • Director of Care Coordination

    Catholic Health Services (West Islip, NY)
    …a hospital care management leadership role is required. Experience in utilization management , working with managed care organizations, and discharge planning ... : Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue… more
    Catholic Health Services (07/18/25)
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