• Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification approved by ... (the payers) and internal stakeholders including, but not limited to, Utilization Review, Case Management, Clinical Documentation Integrity, Health Information… more
    Catholic Health (10/01/25)
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  • PMTS Silicon Photonics TD Device Engineer

    Global Foundries (Malta, NY)
    …that Workday will automatically populate in every external job description. The Hiring Manager only needs to provide the above pieces of information. If you need ... and your contact information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries concerning a request for… more
    Global Foundries (10/01/25)
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  • Lead Information Security Engineer

    Lumen (Albany, NY)
    …show value and improvement for technologies and processes. + Create and analyze utilization statistics of systems to identify causes for system degradations as well ... as recommend required system enhancements for business case and budget approval. + Perform upgrading, patching, hardening, user access permissions, and routine… more
    Lumen (09/30/25)
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  • LTSS Service Coordinator-RN Clinician

    Elevance Health (Buffalo, NY)
    …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
    Elevance Health (08/10/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral… more
    Molina Healthcare (09/26/25)
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  • Medical Director - Cardiology

    Elevance Health (New York, NY)
    …mandated policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests for procedures and interventions ... make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/02/25)
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  • Substance Abuse Counselor

    Arms Acres (Carmel, NY)
    …NY (http://maps.google.com/maps?q=75+Seminary+Hill+Road+Carmel+NY+USA+10512) Apply Job Type Full-time Description Case Manager (CASAC-T, CASAC, LMSW, LMHC, ... LCSW) Arms Acres is looking for a Clinical Case Manager to join our team in...patient treatment plans and requested by program director. Performs utilization review, provides progress reports and develop aftercare plans… more
    Arms Acres (09/19/25)
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  • Social Worker - Emergency Department

    Garnet Health (Harris, NY)
    …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... plan. The SW Clinician will also be the primary Case Manager for the detox patient on...detox patient on the medical floor assuring discharge planning, utilization review, and insurance approval. At Garnet Health, we… more
    Garnet Health (09/08/25)
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  • Surgical Onsite Specialist - (Manhattan)

    Medtronic (Manhattan, NY)
    …**Surgical** **Onsite Specialist** **(SOS)** **is responsible for** **providing** ** case ** **support** **and** **customer** **support** **, training and education, ... Centers of Therapy (COTs). This role ensures seamless product** ** utilization ** **by** **assisting** **with on-site procedures, addressing customer inquiries,… more
    Medtronic (09/18/25)
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  • Surgical Onsite Specialist - (Southern CT & NY)

    Medtronic (Poughkeepsie, NY)
    …lives. The Surgical Onsite Specialist (SOS) is responsible for providing case support and customer support, training and education, and solution implementation ... Surgical Centers of Therapy (COTs). This role ensures seamless product utilization by assisting with on-site procedures, addressing customer inquiries, performing… more
    Medtronic (09/06/25)
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