• Behavioral Health - Care Manager II

    Elevance Health (Latham, NY)
    ** Behavioral Health - Care Manager II**...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager II** is...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
    Elevance Health (10/22/25)
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  • Community Behavioral Health Liaison…

    Molina Healthcare (Buffalo, NY)
    **JOB DESCRIPTION** **_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more
    Molina Healthcare (09/25/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …provides administrative support for any of the programs of Utilization Management, Behavioral Health , Quality Management, or Member Care Management. This ... specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral… more
    Excellus BlueCross BlueShield (10/21/25)
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  • Transplant Care Nurse - Remote

    Highmark Health (Albany, NY)
    …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each… more
    Highmark Health (10/10/25)
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  • Supervisor - Clinical

    Independent Health (Buffalo, NY)
    …+ Four (4) years of clinical experience required to include clinical experience in CM/ UM . Experience with a health insurance company preferred. + One (1) year ... staff of their assigned area (Case Management, Utilization Review and Population Health ). This will include monitoring the daily assignments, daily report activity… more
    Independent Health (10/19/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Albany, NY)
    …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
    Highmark Health (10/22/25)
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  • Case Manager, RN (Medicare)

    Excellus BlueCross BlueShield (Rochester, NY)
    … health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist + ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
    Excellus BlueCross BlueShield (10/23/25)
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