• Director Utilization Management

    Healthfirst (NY)
    …other Operations leaders including but not limited to Care Management, Clinical Eligibility , Behavioral Health, and Appeals and Grievances teams to align utilization ... fostering engagement, communication, and adoption of new technologies or processes** + ** Advocate and actively participate as the clinical voice on various clinical… more
    Healthfirst (11/29/25)
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  • Community Quality Liaison

    Centene Corporation (New York, NY)
    …follow-up care, and facilitate care coordination. + Serve as a member advocate by helping individuals navigate complex healthcare and social service systems. Assist ... with health plan members and navigating community resources required Familiarity with Medicaid / Medicare programs and quality measures (eg, HEDIS) required Strong… more
    Centene Corporation (10/29/25)
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  • CTI Care Manager

    Monroe Plan for Medical Care (Olean, NY)
    …you'll go beyond traditional case management - working hands-on to coordinate care, advocate for essential services, and help restore stability and dignity to those ... Plan offers a comprehensive benefits package (all benefits are subject to eligibility requirements) and non-monetary perks. The company is fully committed to… more
    Monroe Plan for Medical Care (10/25/25)
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  • Other Licensed Practitioner (OLP)/Clinician…

    Elmcrest Children's Center (Syracuse, NY)
    …assessments + Complete all required documentation. + Participate in Team Meetings to advocate and support the child and family when needed; communicate ideas and ... staff meetings as needed and requested. + Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager, on each case to… more
    Elmcrest Children's Center (10/12/25)
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  • Children's Transition and Peer Specialist

    Access: Supports For Living (Middletown, NY)
    …or equivalent required. + Certification as a Peer Specialist / Peer Advocate (or eligibility /willingness to obtain certification within a required timeframe). ... management services. + Assist children in applying and receiving "Family of One" Medicaid , which would otherwise be denied due to their parents' income or resources.… more
    Access: Supports For Living (10/10/25)
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