• Transition of Care Associate, Licensed Practical…

    CVS Health (Albany, NY)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
    CVS Health (09/26/25)
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  • UR Coordinator

    Arms Acres (Carmel, NY)
    …or be license eligible and/or have at least three years' experience in case management, utilization management or chemical dependency. PHYSICAL DEMANDS: The ... we provide. The UR Coordinator assists in the overall utilization management process to ensure that services and programs...and carries out program of admission and continued stay review . Performs external concurrent review as requested… more
    Arms Acres (09/23/25)
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  • Social Worker - Emergency Department

    Garnet Health (Harris, NY)
    … Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox emergency… more
    Garnet Health (09/08/25)
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  • Behavioral Health Care Manager II

    Elevance Health (New Hyde Park, NY)
    …services only, and there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening… more
    Elevance Health (09/30/25)
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