• Practice Manager

    Whitney Young Health Center (Albany, NY)
    …clinic. + Working collaboratively with clinical teams, coordinates various aspects of utilization and review and management + Working collaboratively with the ... reviews are timely, fair, and conducted in a consistent manner. Operations management + Working collaboratively with the Director of Practice Operations,… more
    Whitney Young Health Center (08/02/25)
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  • Mgr Health Insurance & Prior Authorization Spec

    University of Rochester (Rochester, NY)
    …Financial Assistance, Registration and Insurance Management , Utilization Management , Social Work, Patient Accounts, Medical Records, Home Care ... GENERAL PURPOSE Leads team, including supervisors, that reviews referrals for medical necessity and appropriateness of level of care. Assists patients with… more
    University of Rochester (08/07/25)
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  • Assistant Nurse Manager

    Rochester Regional Health (Rochester, NY)
    …ANM is the main contact for a variety of nursing functions in support of management and staff. Serves as a resource for clinical expertise and mentoring / coaching ... implement performance improvement initiatives; complete at least one Clinical Research Utilization (CRU) form annually using current US-based research. + Provide… more
    Rochester Regional Health (08/08/25)
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  • Program Coordinator, Bureau of Equitable Health…

    City of New York (New York, NY)
    …Executive Director PREFERRED SKILLS: - Strong organizational and project management skills - Outstanding interpersonal and writing skills - Proficient in ... and Services. The division's Deputy Commissioner also serves as the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the health care… more
    City of New York (07/19/25)
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  • Coordinator of Space Scheduling and Special Events…

    Touro University (New York, NY)
    …of special events. This role requires strong engagement with the Touro University Director of Security and the Senior Director of Facilities to provide ... Review and adjust space assignments each semester based on utilization and program needs. + Verify term dates and...+ Bachelor's degree is required; a degree in hospitality management , event management , business administration, or a… more
    Touro University (07/16/25)
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  • Care Review Clinician, ABA (Licensed Behavior…

    Molina Healthcare (NY)
    …Collaborates and coordinates with Behavioral Health Medical Director , and Senior Medical Directors to ensure proper management of the BHT benefit * Up to ... Degree in Behavior Analysis or a related field. **Preferred Experience** Utilization Management experience Health Plan/MCO work experience **Preferred License,… more
    Molina Healthcare (08/08/25)
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  • Manager Heath Insurance & Prior Auth. Coords

    University of Rochester (Rochester, NY)
    …Financial Assistance, Registration and Insurance Management , Utilization Management , Social Work, Patient Accounts, Medical Records, Home Care ... insurance products to supervisors and staff. + Provide coverage to Director , fellow department Managers and Supervisors. _Interdisciplinary Processes_ + Collaborate… more
    University of Rochester (08/14/25)
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  • Respiratory Registered Nurse

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …Establishing and maintaining an effective rapport with the facility administrator, MDS, Rehab Director , DON, and medical director . o Demonstrating superior ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… more
    Glengariff Rehabilitation and Healthcare Center (07/20/25)
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  • VPS Care Coordinator

    City of New York (New York, NY)
    …at risk of homelessness. Projects may include client linkage to case management services, medical /mental health/substance use treatment, or linkage to ... shared services functions across agencies, which results in better day-to-day management and building an integrated mission across agencies. DHS's mission statement… more
    City of New York (08/13/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …will assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and ... all telephone communications in accordance with department procedures using Care Management and other resources, escalates issues related to business associate… more
    BronxCare Health System (06/21/25)
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