• Professional, Behavioral Health

    MVP Health Care (Tarrytown, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a **Professional, Behavioral Health ** to join #TeamMVP. If you have a passion for ... with at least 2 years being ASD related + Utilization or Case Management experience in a...interaction **Your key responsibilities:** + Review all requests for behavioral health services utilizing the appropriate … more
    MVP Health Care (11/21/25)
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  • Behavioral Health Medical Director…

    Humana (Albany, NY)
    …value-based care, quality metrics, population health , and disease or care management . The Behavioral Health Medical Director may develop procedures, ... part of our caring community and help us put health first** The Behavioral Health ...management , utilization management , case management , discharge planning and/or home health or… more
    Humana (11/11/25)
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  • Medical Director, Behavioral Health…

    MVP Health Care (Rochester, NY)
    …and continuous improvement. To achieve this, we're looking for a **Medical Director, Behavioral Health Children's Services** , to join #TeamMVP. If you have ... reviews. Lead's MVP's efforts to collaborate in person and virtually with behavioral health network providers and facilities around clinical determinations,… more
    MVP Health Care (09/24/25)
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  • Social Worker - Inpatient Behavioral…

    Garnet Health (Harris, NY)
    …to make your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. ... is also responsible for obtaining insurance approval for inpatient behavioral health treatment, making sure that correct...utilization review, and insurance approval. Join the Garnet Health team and let your excellence shine. Salaries shown… more
    Garnet Health (08/26/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Buffalo, NY)
    …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management … more
    Molina Healthcare (10/17/25)
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  • Behavioral Health Service Provider

    OLV Human Services (Lackawanna, NY)
    …Minimum Experience Required: At least 2 years of experience in children's Mental Health , Behavioral Health , foster care, or related field ... children's lives? Do you have experience working in mental health , foster care, or similar fields of work? If...Salary range: $18.22 - $26.00 per hour. The Youth Behavioral Support Caseworker provides direct services to children and… more
    OLV Human Services (09/05/25)
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  • Medical Director, Psychiatry (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …Accountabilities: Level I + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
    Excellus BlueCross BlueShield (11/12/25)
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  • Supervisor, Healthcare Services Operations Support…

    Molina Healthcare (Syracuse, NY)
    …services activities for care management , care review, utilization management , transitions of care, behavioral health , long-term services and ... Molina's clinical/healthcare services function, which may include care review, care management , and/or correspondence processing, etc. * Researches and analyzes the… more
    Molina Healthcare (11/21/25)
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  • Program Manager, Healthcare Services

    Molina Healthcare (Yonkers, NY)
    …or more of the following areas: utilization management , care management , care transitions, behavioral health , or equivalent combination of relevant ... Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification. * Leadership experience. *… more
    Molina Healthcare (11/23/25)
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  • Medical Director, Medical Management

    Highmark Health (Albany, NY)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
    Highmark Health (11/21/25)
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