• Nursing Supervisor - Per Diem

    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 (04/13/25)
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  • Alcoholism and Substance Abuse…

    Outreach Development Corporation (Brentwood, NY)
    …others. + Use individualized counseling strategies with the client to maximize utilization of treatment resources. + Provide information to clients regarding the ... + Assess the level of risk involved in clients in crisis situations. Case Management + Maintain client information about community resources and services by… more
    Outreach Development Corporation (05/03/25)
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  • Residential Assistant

    DePaul (Batavia, NY)
    …is now hiring a part-time Residential Assistant! Under the direction of the Residence Manager , this position assists with the case management, care and training ... to residents. (Does not involve a case load.) Why work for DePaul? + Make a...Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all… more
    DePaul (04/15/25)
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  • Residential Assistant

    DePaul (Rochester, NY)
    …is now hiring a part-time Residential Assistant! Under the direction of the Residence Manager , this rtole assists with the case management, care and training to ... residents. (Does not involve a case load.) This role is Friday & Saturday on...Give relevant input for treatment team meetings, staff meetings, utilization reviews, and any other meetings. 2. Observe all… more
    DePaul (04/11/25)
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  • Fair Hearing Process Coordinator

    City of New York (New York, NY)
    …appropriate. Report operational and system concerns and issues to the Assistant Program Manager to ensure effective utilization of resources. - Review and audit ... CPRU and SEPU. It is also responsible for processing case actions on IREA cases sent to the automated...process by conducting internal audits and random review of case records from the various fair hearing process. -… more
    City of New York (03/09/25)
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  • Mgr Sales Development

    Lumen (Albany, NY)
    …world and shape the future. **The Role** As an Inside Sales Lead Generation Manager you're tasked with leading a group of highly motivated and talented Sales ... the key to success of Lumen. The Lead Generation Manager must be passionate about sales and building a...the ability to coach and guide your team in utilization + Ability to excel in a team-oriented, collaborative,… more
    Lumen (05/09/25)
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  • Medical Director- NY Medicaid

    Elevance Health (Middletown, NY)
    …clinical program. **How you will make an impact:** + Performs utilization reviews of inpatient and outpatient services making medical appropriateness determinations ... guidelines and criteria + Ensures timely completion of clinical case reviews + Participates in clinical appeals review process...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (05/09/25)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Latham, NY)
    …medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... + Extensive orthopedic surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. For candidates working… more
    Elevance Health (05/01/25)
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  • Care Coordinator RN SJC Mercy Comprehensive Care

    Catholic Health (Buffalo, NY)
    …of (1) year experience as a registered nurse required + One year previous case , disease, or utilization management experience preferred + One 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 (04/24/25)
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  • Family Health Advocate - Remote

    Sharecare (Albany, NY)
    …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex spending… more
    Sharecare (04/12/25)
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