• Utilization Management Reviewer, RN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management ... track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting our Inpatient,… more
    Helio Health Inc. (12/02/25)
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  • Manager, Inpatient Pharmacist - Pharmacy…

    University of Rochester (Rochester, NY)
    …conduct the business of the functional unit under their supervision and management . Their supervisor should be aware of all ongoing interdepartmental ... defined by NYS Laws and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and...frequency of reporting will be agreed upon with their Supervisor . + Performs budget management and planning… more
    University of Rochester (11/12/25)
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  • Social Worker - Emergency Dept (High…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Job Title:** **Social Worker - Emergency Dept (High Utilization )** **_Social Work Services at the Mount Sinai Hospital_** The Mount Sinai ... in coordinating resources within the hospital and community networks for effective management of patient care. + Spanish speaking _preferred._ + Internal candidates:… more
    Mount Sinai Health System (12/10/25)
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  • Case Management Supervisor - Full…

    Mohawk Valley Health System (Utica, NY)
    Case Management Supervisor - Full Time - Days Department: CASE MGMT Job Summary The Case Management Supervisor is responsible for the oversight of the ... case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision and mentoring of the case … more
    Mohawk Valley Health System (11/21/25)
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  • RN Supervisor Case Management - Full…

    Mohawk Valley Health System (Utica, NY)
    RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible ... for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision and… more
    Mohawk Valley Health System (10/07/25)
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  • Middle Revenue Cycle Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …team with one of the major consultant firms + Proficiency in utilization management /clinical documentation Integrity and regulatory requirements required + ... + Ability to lead, challenge, motivate, coordinate and facilitate teams across the utilization management continuum + Understanding of clinical quality and … more
    Catholic Health (12/31/25)
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  • Supervisor Of Nursing - Clinical Care…

    WMCHealth (Valhalla, NY)
    Supervisor Of Nursing - Clinical Care Management Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management ... Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31222) Internal Applicant link Job Details: N4 Supervisor of Nursing/Nurse Manager - Clinical Care Management more
    WMCHealth (12/03/25)
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  • RN Supervisor - Capacity Management

    Trinity Health (Syracuse, NY)
    … position is dedicated to providing quality care and excellent outcomes. **RN Supervisor - Capacity Management Hub Night Shift** **Position Purpose:** This ... care coverage to promote safe quality care coverage 24/7. + Coordinate bed management for all admissions and transfers throughout the hospital to achieve most… more
    Trinity Health (10/17/25)
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  • APP Supervisor - NICU

    Albany Medical Center (Albany, NY)
    …Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 APP Supervisor - NICU The APP Supervisor coordinates, plans, directs, implements and ... and patients in the inpatient, ambulatory, and community settings. The NP Supervisor maintains proficiency in direct patient care, including the responsibility and… more
    Albany Medical Center (12/13/25)
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