• Field Clinical Specialist, NYC/Long…

    Edwards Lifesciences (New York, NY)
    …will make an impact:** + Working independently in the areas of valve crimping, case management, pre- case planning, post- case management, 3 Mensio management, ... educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing...and crimping of the Sapien valve in each assigned case ; to support Physicians in the THV procedure to… more
    Edwards Lifesciences (10/02/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (New York, NY)
    …clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (09/10/25)
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  • Regional Team Leader, Specifications

    CDM Smith (Syracuse, NY)
    …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. -...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
    CDM Smith (08/01/25)
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  • Nursing Supervisor (3rd shift)

    St. James Hospital (Hornell, NY)
    …information, assigns bed, and lets appropriate staff know. + Assists ED and Med/Surg manager with staff scheduling + Assists case management with completion of ... of all nursing staff within the facility along with elements of case management. Performs complex and varied tasks requiring independent knowledge, its application… more
    St. James Hospital (09/23/25)
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  • Sales Consultant, Early Intervention (Bronx,…

    J&J Family of Companies (White Plains, NY)
    …product and customer knowledge to present, demonstrate, and ensure proper utilization of products. Actively promote special marketing promotions and support ... uses them to support territory efforts + PEAK PRP Case Coverage: Maintainappropriate surgeon contact with all prospects or...If you move forward, you'll meet with the hiring manager (and possibly others on the team) in one… more
    J&J Family of Companies (09/26/25)
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  • Program Director - Children's Crisis Residences

    YAI (Manhattan, NY)
    …Residence in collaboration with the multi-disciplinary team, families and case managers, receiving referrals of potential intakes, reviewing application materials, ... supervision to Children's Crisis Residence program leadership, including supervisors, case managers and mental health clinicians, overseeing and directing daily… more
    YAI (09/17/25)
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  • Director, Health and Welfare

    NBC Universal (New York, NY)
    …Develops innovative approaches to expand and transform the engagement and cross utilization of benefits and services leading our health advocacy and navigation ... health advocacy and navigation platform. + Analyze Versant health plan utilization to assess employee health outcomes and identification of future strategic… more
    NBC Universal (09/30/25)
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  • Pilots Associate (LACI BATWorks, NYC)

    LACI (New York, NY)
    …KPIs; at times, independently collect and assess pilot quantitative and qualitative utilization data to track progress. Work with innovators and partners to adjust ... reporting of pilot metrics and learnings, which will result in a brief pilot case study as a supportive deliverable for companies participating in the programs +… more
    LACI (09/21/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Rochester, NY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. +… more
    Molina Healthcare (09/06/25)
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  • Care Coordinator RN TRI PC Orchard Park

    Catholic Health (West Seneca, NY)
    …(1) year experience as a registered nurse required + One (1) year previous case , disease, or utilization management experience preferred + One (1) year previous ... guidelines, encourage patient self-management, increase coordination of care, increase the utilization of resources and services across the continuum and improve… more
    Catholic Health (09/04/25)
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