• 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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  • Full-time Utilization Review

    St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
    …Centers Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay Range: ... , supporting the agency's mission and client care quality. Department Utilization Review Employment Type Full-Time Minimum Experience Mid-level Compensation… more
    St Joseph's Addiction Treatment & Recovery Centers (04/15/25)
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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)
    …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 (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 ... and Appeals requests. + Assist with all Blue Card Claims escalations. + Assist management with the review and creation of desk level procedures, acting as… more
    Excellus BlueCross BlueShield (04/27/25)
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  • Utilization Case Manager

    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. (05/02/25)
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  • Patient Management Supervisor

    Kaleida Health (Williamsville, NY)
    …Office Suite and Outlook. 2 years of experience In any combination of: case management , home care and utilization review preferred. Knowledge of and ... **Patient Management Supervisor ** **Location:** Millard Fillmore Suburban **Location of Job** : US:NY:Williamsville **Work Type** : Part-Time **Shift 1** **Job… more
    Kaleida Health (05/03/25)
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  • Maintenance Supervisor 4

    New York State Civil Service (Scotia, NY)
    …Road City Scotia State NY Zip Code 12302 Duties Description The Maintenance Supervisor 4 is responsible for the management , supervision, coordination, technical ... No Agency Military and Naval Affairs, Division of Title Maintenance Supervisor 4 Occupational Category Skilled Craft, Apprenticeship, Maintenance Salary Grade 21… more
    New York State Civil Service (04/26/25)
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  • 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 (04/15/25)
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  • 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 (05/08/25)
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