• Behavioral Health Medical…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ... strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex...or line of business. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (08/09/25)
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  • Senior Child Behavioral Medical…

    Centene Corporation (New York, NY)
    …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... workplace flexibility. **Position Purpose:** Assist the Vice President of Medical Affairs to direct and coordinate the medical...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (08/08/25)
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  • Part-Time Weekend Medical Director…

    Highmark Health (Albany, NY)
    …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (06/12/25)
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  • Director , Clinical Logistics

    WMCHealth (Valhalla, NY)
    …to enhance patient care and improve operational efficiency. Oversight is inclusive of medical and behavioral patients. The director establishes policies and ... well as development of metrics to ensure measurable success and reports to the Medical Director of Clinical Logistics Responsibilities: + Lead and manage the… more
    WMCHealth (08/28/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Dewitt, NY)
    … Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and ... health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist + Accepts… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Director , Data & AI Architecture

    NASCO (Albany, NY)
    …Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell options + 9 Company ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...business administration or a related field **Working Conditions:** + Remote /Home Office + Well-lighted, heated and/or air conditioned indoor… more
    NASCO (07/24/25)
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  • Clinical Transformation Director

    Highmark Health (Albany, NY)
    …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non-clinical workforce activity. + **Relationship Management & ... Experience working in provider partnerships + Experience with data analytics and medical economics ​ **SKILLS** + Organizational skills and detail orientation +… more
    Highmark Health (08/21/25)
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  • Registered Nurse / Case Manager ( Remote )

    aptihealth (Clifton Park, NY)
    …a behavioral health engagement company that seamlessly integrates physical and behavioral healthcare. Our platform connects medical providers, behavioral ... local/state/federal rules and regulations as directed by the Clinical Director . The RN Case Manager will order, interpret, and...into therapy faster and clinically proven to improve both behavioral and medical outcomes while lowering overall… more
    aptihealth (09/04/25)
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  • PRC Case Manager -- Remote /Hybrid…

    St. Catherine's Center for Children (Kingston, NY)
    CASE MANAGER, MID-HUDSON PRC -- REMOTE /HYBRID Location: Columbia & Greene County - New York Program : Foster Care/ Mid-Hudson Region - Permanency Resource Center ... #: 203 Schedule : Monday-Friday, with a flexible schedule This position is REMOTE /HYBRID! 40 hours weekly, 9-5pm with flexibility to work some weekends and evenings.… more
    St. Catherine's Center for Children (07/27/25)
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  • LPN Care Coordination Supervisor - Hybrid

    Graham Windham (Bronx, NY)
    …tracking logs. + Participates in permanency FTCs and provides input related to medical / behavioral health needs, service planning for youth and families. + ... 10027 195 Montague St., Brooklyn, NY 11201 Direct Supervisor: Director , Care Coordination Direct Reports (if any): Nursing Care...Ensures that appropriate medical / behavioral health referrals/services are in place prior… more
    Graham Windham (06/10/25)
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