• Appeals Manager

    BronxCare Health System (Bronx, NY)
    …department staff when prevented from completing job tasks. - Assists the Administrative Manager and Director with annual review and revisions of departmental ... Overview The Appeals Manager is responsible to assist in the analysis...the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns… more
    BronxCare Health System (06/21/25)
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  • Care Manager - Registered Nurse (NICU)

    Crouse Hospital (Syracuse, NY)
    …education and outreach programs. Crouse's Care Coordination Services team is hiring a Care Manager (in the NICU) to review the services delivered to patients and ... occasional weekends (typically requires 6 weekends a year). Care Manager Position Responsibilities: + Works collaboratively with the multidisciplinary healthcare… more
    Crouse Hospital (07/03/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Ridgewood, NY)
    …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of Health policies and… more
    CenterLight Health System (07/25/25)
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  • Budgets and Contracts Manager

    EAC Network (Garden City, NY)
    Budgets and Contracts Manager Job Details Level Experienced Job Location 99 Quentin Roosevelt Blvd Suite 200, Garden City, NY, 11530 - Garden City, NY Position Type ... Nonprofit - Social Services Join Our Team as a Budgets and Contracts Manager for ourFinance department here at EAC Network! Are you passionate about supporting… more
    EAC Network (08/08/25)
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  • Health Fitness Manager

    STG International (New York, NY)
    STGi is currently seeking a Health Fitness Manager to support our Wellness and Health Promotion Services contract with Federal Occupational Health. Job Specific ... fitness and wellness challenges). * Where applicable, manage Assistant Manager and/or Specialist staff including site schedules. Designate operational tasks… more
    STG International (05/18/25)
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  • Assistant Nurse Manager Acute Care…

    Bassett Healthcare (Cooperstown, NY)
    …established department procedures. Participates or leads committees as directed by the Nurse Manager , as noted in portfolio review . Plans and implements selected ... enjoy the best quality of life possible. What you'll do The Assistant Nurse Manager provides management assistance on an assigned shift and is accountable for the… more
    Bassett Healthcare (08/01/25)
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  • Registered Nurse Care Manager Transition…

    Catholic Health (Kenmore, NY)
    …(2) years acute care and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager ... 0800-1600 with rotation to 0900-1700, 1000-1800. Summary: The Registered Nurse (RN) Care Manager -Transition of Care, as an active member of the Care Management and… more
    Catholic Health (06/11/25)
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  • IS Tech Services Manager

    ENFRA (New York, NY)
    …of our continued success. **Overview** The IS Technical Services Team Manager is responsible for the execution of Retro-Commissioning and Commissioning services, ... leading and developing resources assigned to the IS Technical Services Team Manager . **Responsibilities** + Perform assigned duties in accordance with Company safety… more
    ENFRA (08/09/25)
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  • Case Manager Registered Nurse - Specialty…

    CVS Health (Albany, NY)
    …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
    CVS Health (08/10/25)
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  • Procurement & Operations Manager

    Staffing Solutions Organization (Albany, NY)
    …reflection of our clients and the people they serve. **Procurement & Operations Manager ** **Hybrid - Albany, NY** **Summary** The incumbent will be responsible for ... maturity of cost management and monitoring + Managing cloud purchase agreement review and leading collaboration with contractors + Collaborating with OHIP contracts… more
    Staffing Solutions Organization (08/09/25)
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