• Vocational Counselor-PT

    Outreach Development Corporation (Brentwood, NY)
    …as directed by the Site Director. . Implement vocational services and promote utilization of staff that serves to enhance program utilization , service delivery ... . Initiate specialized projects, eg, outreach, to promote access and utilization of vocational services. . Provide support and direction to vocational/educational… more
    Outreach Development Corporation (09/27/25)
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  • Intake Coordinator

    Highmark Health (Buffalo, NY)
    …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the ... the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
    Highmark Health (09/27/25)
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  • Mental Health Program Specialist 2, Central…

    New York State Civil Service (Albany, NY)
    …with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review. ? The ideal candidate(s) will have ... direct care and utilization management experience, including familiarity with the review of medical evidence, psychiatric evidence, a knowledge base of child-serving… more
    New York State Civil Service (09/27/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral ... in health care, and at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required by state contract, regulation or… more
    Molina Healthcare (09/26/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and ... as may be required. + Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. + Provides… more
    Molina Healthcare (09/26/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …+ Maintains knowledge of regulatory and accreditation requirements related to utilization review (UR), discharge planning (DP), LOC and clinical documentation. + ... Advisors during the monthly Physician Advisor meeting. + Attends hospital Utilization Management (UM) committees. + Supervises the Facility Physician Advisors. +… more
    Catholic Health Services (09/26/25)
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  • Short Range Planner

    The Estee Lauder Companies (Melville, NY)
    …generate finite production schedule for factories + Review factory capacity utilization and validate resource capacity assumptions Key Responsibilities: + Receive ... Accountable to revise 4-week schedule horizon as needed to insure capacity utilization and most efficient format/sequence are achieved. + Communicates and/or leads… more
    The Estee Lauder Companies (09/26/25)
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  • Nurse Case Manager, Per Diem

    Albany Medical Center (Albany, NY)
    …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve ... care, including pre-admission, discharge, post-discharge, planning length of stay, and utilization of resources.* Utilizes own special body of knowledge and… more
    Albany Medical Center (09/25/25)
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  • Social Worker II

    Ellis Medicine (Schenectady, NY)
    …implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, hospital ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with the ED… more
    Ellis Medicine (09/23/25)
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  • Customer Success Manager

    LiveRamp (New York, NY)
    …the data and AdTech industry, and an understanding of data monetization and utilization strategies. The AdTech landscape is complex and rapidly evolving, making this ... client value is achieved. + Drive the adoption and utilization of LiveRamp solutions to maximize customer value. +...use cases and challenges faced by data partners in utilization and monetization efforts. + Provide strategic guidance to… more
    LiveRamp (09/23/25)
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