• Peer Support Specialist

    Whitney Young Health Center (Albany, NY)
    …during emergencies in conjunction with the CPTS Program Manager + Support the medical case manager in developing a comprehensive treatment plan for patients ... consultation on program implementation. Peer support services are distinct from case management, behavioral health and substance use disorder treatment services and… more
    Whitney Young Health Center (10/01/25)
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  • Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …with Provider Relations, explaining processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise ... coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Junior Public Health Nurse, Bureau of Public…

    City of New York (New York, NY)
    …medication administration and education on TB disease and Latent Infection. Perform medical case management of cases including health counseling, interpretation, ... as prescribed by a physician. Conduct record reviews and participate in case management meetings. **IMPORTANT NOTES TO ALL CANDIDATES: Please note: If you… more
    City of New York (10/30/25)
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  • Nursing Supervisor

    Educational Alliance, Inc. (New York, NY)
    …+ Maintain and participate in on-call Nursing Supervisor schedule. + Preparing the medical case conference meeting agenda and facilitating the meeting. + ... recording and reporting of client files. + Assess the medical status of new and existing clients and refer...of new and existing clients and refer for outside medical care when appropriate. + Monitor physical health needs… more
    Educational Alliance, Inc. (11/18/25)
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  • Medical Director, Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …+ Regular attendance at assigned meetings including, but not limited to, weekly Medical Director staff meetings, weekly case consistency meetings, monthly ... I Qualifications) + Minimum 2-3 years of experience in medical management, utilization review and case management....experience in medical management, utilization review and case management. + Knowledge of managed care products and… more
    Excellus BlueCross BlueShield (09/30/25)
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  • Medicolegal Analyst (Law Dept) Lv2

    City of New York (New York, NY)
    …of treatment as it relates to the claimant's work injury and assist with medical case management of claims. Review and process high value and complicated ... Division are responsible for all medically related issues for medical management of workers' compensation claims. Responsibilities include: Consult managerial… more
    City of New York (11/12/25)
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  • Registered Nurse

    CP Unlimited (Carmel, NY)
    …assessments on at least a semiannual basis or as indicated. + Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical , dental, and ... and promptly update as indicated by acute illnesses and/or complex ongoing medical problems. + Evaluate the effectiveness of preventive/ongoing health care and make… more
    CP Unlimited (09/28/25)
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  • Licensed Practical Nurse - East Williamsburgh

    Project Renewal, Inc. (Brooklyn, NY)
    …problems to appropriate providers + Participates in weekly clinical meetings with medical staff, shelter case management, & administrative staff + Communicates ... regularly with on-site psychiatric and medical providers, case managers and on-site operations & administrative staff + Communicates with off-site psychiatric… more
    Project Renewal, Inc. (12/02/25)
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  • Supervisor, Clinical Grievance and Appeals

    Centene Corporation (New York, NY)
    …Purpose:** Supervise nurses in a highly regulated department responsible for performing medical necessity case reviews for appropriateness of medical ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
    Centene Corporation (10/31/25)
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  • Director of Detention Programs

    City of New York (New York, NY)
    …by DYFJ (from detention to placement) are receiving comprehensive and consistent medical , mental health, case management, social and educational services ... Center in the Bronx, where youth receive comprehensive services including medical , dental, mental health care, and education. Under administrative direction, the… more
    City of New York (11/26/25)
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