• 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 (10/24/25)
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  • Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …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 Cycle… more
    Catholic Health Services (10/16/25)
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  • Transplant Care Nurse (Remote)

    Highmark Health (Albany, NY)
    …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
    Highmark Health (11/06/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …Coordination Specialist provides administrative support for any of the programs of Utilization Management , Behavioral Health, Quality Management , or Member ... assigned to non-care managers are monitored by the care manager + The care manager provides feedback...under pressure. + Demonstrates proficiency in basic navigation and utilization of department specific applications: care management more
    Excellus BlueCross BlueShield (10/21/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... as may be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider inquiries/appeals. *… more
    Molina Healthcare (11/14/25)
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  • Nuclear Medicine Coordinator

    Bassett Healthcare (Cooperstown, NY)
    …skills necessary to assist the Radiation Safety Officer, and Radiation Safety Manager with reports, records, and statistical data for administrative and regulatory ... record keeping for patient's medical record, statistical information, radioactive utilization , and billing process + Responsible for supervising their individual… more
    Bassett Healthcare (11/03/25)
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  • Coordinator, Surgical Ops - Operating Room - Full…

    Guthrie (Binghamton, NY)
    …Keep Manager / Director informed of clinical issues, staffing issues, and risk management concerns. Acts on behalf of Clinical Manager / Director in his/her ... related to interviews, new hires, transfers, promotions, evaluations, and performance management issues. In collaboration with manager / director recommends… more
    Guthrie (11/06/25)
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  • Client Service Associate - Commercial…

    City National Bank (New York, NY)
    …clients. Participates in client call program either independently or with Relationship Manager . Prepares call reports for management . * Provides assistance and ... is positioned to proactively execute on the concepts developed by the Relationship Manager with minimal supervision. Is also instrumental as a liaison with other… more
    City National Bank (11/02/25)
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  • Assistant Executive Chef

    University of Buffalo - Campus, Dining (Buffalo, NY)
    …culinary staff in contract dining in the following areas: understanding and utilization of recipes, food handling procedures, kitchen safety and sanitation, cooking ... methods, product taste and presentation, use of equipment, leftover utilization and proper record keeping. . Hands on training and development of culinary employees.… more
    University of Buffalo - Campus, Dining (11/11/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …**Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review ... work, communication of decisions to internal associates, participation in care management and possible participation in care facilitation with hospitals. The… more
    CenterWell (11/06/25)
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