• Utilization Manager Reviewer, RN (Multiple…

    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 (08/23/25)
    - Related Jobs
  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    …ensure timely follow through. + Reviews providers' requests for services and coordinates utilization /appeals management review . + Assist Utilization and ... Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of… more
    Catholic Health Services (09/09/25)
    - Related Jobs
  • Utilization Case Manager- Inpatient Program

    Helio Health Inc. (Syracuse, NY)
    …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
    Helio Health Inc. (09/30/25)
    - Related Jobs
  • Insurance Specialist-Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
    Mount Sinai Health System (07/23/25)
    - Related Jobs
  • RN Supervisor Case Management - Full…

    Mohawk Valley Health System (Utica, NY)
    …population. Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member ... RN Supervisor Case Management - Full Time...SNH is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member… more
    Mohawk Valley Health System (07/09/25)
    - Related Jobs
  • Clinical Denials and Appeals-Clinical…

    Catholic Health (Buffalo, NY)
    …parties (the payers) and internal stakeholders including, but not limited to, Utilization Review , Case Management , Clinical Documentation Integrity, Health ... of team Summary: The Clinical Denials and Appeals, Clinical Supervisor is responsible for the people, carrying out and... management + Certification in a Nationally Recognized Utilization Review Criteria set is preferred EXPERIENCE… more
    Catholic Health (10/01/25)
    - Related Jobs
  • Trades Supervisor (Electrician)

    Stony Brook University (Stony Brook, NY)
    …personnel. HV Supervisor will alternate leading monthly safety meetings with management . + Prepare and maintain written and electronic (INFOR) records of work ... Trades Supervisor (Electrician) **Required Qualifications:** Per Civil Service Standards...schedule work to be performed to insure the effective utilization of staff, materials and equipment and completion of… more
    Stony Brook University (09/23/25)
    - Related Jobs
  • Case Manager Supervisor

    Stony Brook University (Stony Brook, NY)
    …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... Case Manager Supervisor **Position Summary** At Stony Brook Medicine, a...a TH Staff Associate/Supervising Case Manager in the Care Management Department may include the following but are not… more
    Stony Brook University (09/16/25)
    - Related Jobs
  • Licensed Veterinary Technician Supervisor

    VCA Animal Hospitals (Bedford Hills, NY)
    …people in our community we are in search of a **Veterinary Technician** **Specialty Supervisor ** ! We are looking for an individual with supervisor experience to ... our Emergency & Specialty Service teams as a **Veterinary Technician ER & Specialty Supervisor ** . This is a great opportunity for a Veterinary Technician who wants… more
    VCA Animal Hospitals (09/24/25)
    - Related Jobs
  • Warehouse/Transportation Supervisor

    City of New York (New York, NY)
    …and other building services, health/safety program coordination, lease and property management , land use and environmental review activities, contract ... Support Services/Office of Planning & Logistics is recruiting for one (1) Supervisor of Stock Workers I to function as Warehouse/Transportation Supervisor more
    City of New York (08/08/25)
    - Related Jobs