• Clinical Reviewer, Nurse…

    Evolent (Albany, NY)
    …responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States. Acts… more
    Evolent (11/20/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Middletown, NY)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
    Elevance Health (11/14/25)
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  • Residential SUD Counselor - 127 West 25th Street

    Bowery Residents Committee (Manhattan, NY)
    …and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... LOCADTRs. Participate fully in a multidisciplinary team including MD, RN , LPN, CASAC, LMHC, Peer specialists and LCSW. Provide emergency first aid/CPR assistance… more
    Bowery Residents Committee (09/30/25)
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  • Mgr, Acute Services Inpatient

    Rochester Regional Health (Rochester, NY)
    …for quality initiatives, collaborates with CNO/Director of Quality to provide quality review activities. Guides assigned areas in utilization of recognized ... OASAS Qualified Health Professional who hold Master's degree; or RN BSN with minimal 3 years clinical experience; or...but is not limited to quality, regulatory and risk management functions or parts thereof. EDUCATION: LICENSES / CERTIFICATIONS:… more
    Rochester Regional Health (11/21/25)
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  • Program Director - 00325 (Mcr001) - Mon-Fri…

    WellLife Network (Manorville, NY)
    …the quality of care and treatment provided to residents, including ongoing utilization review and self-audit processes.23. Attends and participates in SPOA ... Director is responsible for program development, staff supervision, fiscal management , quality assurance, and maintaining a therapeutic, structured environment that… more
    WellLife Network (11/01/25)
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