• Case Manager, Registered Nurse - Fully Remote

    CVS Health (Albany, NY)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (01/04/26)
    - Related Jobs
  • Home Health Scheduler - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …scheduling records. + Participates in agency meetings and the quality improvement and utilization review activities of the organization. + Follows all state, ... for Home Health services, including holidays and weekends. Keeps supervisor and HH staff updated on all scheduling changes....Participates in agency meetings and the quality improvement and utilization review activities of the organization. +… more
    Mohawk Valley Health System (12/05/25)
    - Related Jobs
  • Director, Quality Assurance

    MTA (New York, NY)
    …RANGE: $ 126,098 - $134,000 HAY POINTS: 677 DEPT/DIV: MTA HQ/ Security SUPERVISOR : Deputy Chief, Security Management FULL/PART-TIME: Full -Time LOCATION: 2 ... policies, operational procedures, practices, and services. Responsible for the day-to-day management of the quality assurance and control for all MTA Security… more
    MTA (10/28/25)
    - Related Jobs
  • AVP of OR/Peri-Op Services

    Albany Medical Center (Albany, NY)
    …short- and long-term goals and objectives. As a member of the nursing executive management team, the AVP participates in the efficient and effective management ... in nursing, involving perioperative and/or procedural services + Demonstrated progressive management experience, minimum 3-5 years Skills, Knowledge & Abilities: +… more
    Albany Medical Center (12/27/25)
    - Related Jobs
  • Substance Misuse Counselor - 00362 - Mon-Fri…

    WellLife Network (Bronx, NY)
    …contracts, quarterly summaries, collateral contacts. 30. Meet routinely with residents and management team to review goal progress, identify participant needs ... count/add/subtract/manage money. 10. Communicate information with all staff and supervisor (s) verbally and in writing for the purpose of...and update program plan and / or utilization of review plans. 31. Represent the… more
    WellLife Network (11/06/25)
    - Related Jobs
  • Dental Treatment Coordinator Lead

    University of Rochester (Rochester, NY)
    …and support to Administrative support staff. Assigns and checks work. Assists supervisor in preparing performance evaluation data. Assumes functions of supervisor ... assistance to Administrative support staff. Assigns and checks work. Assists supervisor in preparing performance evaluation data. Assumes functions of supervisor more
    University of Rochester (11/06/25)
    - Related Jobs
  • Physician Peer Reviewer NY Licensed Internal…

    Healthfirst (NY)
    …+ The Medical Peer Reviewer will: + Maintain productivity standards. + Collaborate with Utilization Management and Care Management and medical departments as ... in Internal Medicine or Family Practice + Previous, relevant experience in utilization management and clinical practice + Knowledge of Medicare, Medicaid,… more
    Healthfirst (11/13/25)
    - Related Jobs
  • Cred Alc&Sub Abuse Counselor 2

    University of Rochester (Brighton, NY)
    …+ Collaborative care sessions + Mentor new staff and supervise interns + Milieu supervisor management in clinic area + Toxicology screen monitoring + Assess ... responsibilities for counselor interns and new staff. Reports to the Clinical Supervisor of assigned clinic. Subscribes to the Department's goal of creating a… more
    University of Rochester (10/31/25)
    - Related Jobs
  • Application Developer Levels 1-5 - Data and AI…

    MTA (New York, NY)
    …4 $76,001 - $108,573 Level 5 $86,703 - $123,862 DEPT/DIV: Information & Warehouse Mgt SUPERVISOR : Product Dir Data Science & Eng LOCATION: 2 Broadway , New York, NY ... Test and debug routines and programs for efficient processing and maximum utilization of computer systems. + Develop and maintain technical and standard… more
    MTA (01/06/26)
    - Related Jobs
  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …8. Knowledge of and experience in Quality Assessment and Improvement, Utilization Review . 9. Ability to develop management systems to track data over time. ... has been denied. Conducts interdepartmental meetings related to the quality and utilization of clinical services. Serves on various Hospital committees as assigned.… more
    Calvary Hospital (11/19/25)
    - Related Jobs