• Clinical Supervisor , Utilization

    VNS Health (Manhattan, NY)
    …Will Do + Supervises the day-to-day operations of VNS Health Plans Medical Management clinical and non clinical staff. Makes recommendations to the development, ... utilization , and evaluation of internal processes to ensure customer...in addressing and resolving day-to-day operational issues. + Assists management team in the development of long- and short-… more
    VNS Health (04/02/25)
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  • Utilization Management Reviewer…

    Excellus BlueCross BlueShield (Utica, 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 (05/02/25)
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  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of ... payment related activities. Position Responsibilities: | Prepares necessary documentation for utilization management and appeals processes, performs data … more
    Catholic Health Services (02/14/25)
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  • Utilization Management Services Rep…

    Excellus BlueCross BlueShield (Rochester, NY)
    …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... attendance is expected and required. + Performs other functions as assigned by management . Level II (in addition to Level I Accountabilities) + Assists and performs… more
    Excellus BlueCross BlueShield (04/27/25)
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  • Trainer - Clinical Services - Utilization

    Molina Healthcare (Albany, NY)
    …for RN, LVN, or bachelor's trained candidates with a strong background in Utilization Management . Additionally, the applicant should have proven experience as a ... trainer, or as a mentor, preceptor, lead, or supervisor within the utilization department. Experience in...the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and… more
    Molina Healthcare (05/07/25)
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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. (05/02/25)
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  • Full-time Utilization Review Specialist

    St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
    …Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay Range: $22.00/hour ... and coordinate account card reimbursements, if necessary. + Support behavioral utilization activities, aligning with agency policies to promote optimal client care… more
    St Joseph's Addiction Treatment & Recovery Centers (04/15/25)
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  • Patient Management Supervisor

    Kaleida Health (Williamsville, NY)
    **Patient Management Supervisor ** **Location:** Millard Fillmore Suburban **Location of Job** : US:NY:Williamsville **Work Type** : Part-Time **Shift 1** **Job ... equity and inclusion where diversity is valued and celebrated!_ **Position** Patient Management Supervisor **Location** US:NY:Williamsville | Management |… more
    Kaleida Health (05/03/25)
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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 (04/15/25)
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  • Administrative Supervisor , BSFT

    Graham Windham (Bronx, NY)
    Administrative Supervisor , BSFT Job Details Level Management Job Location 1946 Webster Avenue, Bronx, NY 10457 - Bronx, NY Position Type Full Time Education ... Level Graduate Degree Salary Range $75000.00 - $77000.00 Salary/year BSFT Bronx, Supervisor Position Title : Administrative Supervisor Position Type : Full-Time,… more
    Graham Windham (03/05/25)
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