• Member Health Policy Clinical Manager

    CDPHP (Albany, NY)
    …researching new and emerging technologies and interfacing with the medical directors, utilization review staff, and other key policy stakeholders Qualifications: ... will collaborate with the CDPHP team in the development, review and revision of CDPHP Resource Coordination policies, including...or license required. + Minimum two (2) years of utilization management concepts and techniques within an… more
    CDPHP (08/13/25)
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  • Hyperbaric Oxygen Technologist

    Nuvance Health (Poughkeepsie, NY)
    …Course. The hyperbaric chamber operator assists in the provision of safe and therapeutic management of patient care to an assigned group of patients through the ... utilization Standards of Practice and policies and procedures and...patient care within the scope of practice as a Nurse (RN or LPN), Respiratory Therapist, EMT, Paramedic. *… more
    Nuvance Health (06/11/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities. ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. + Evaluate the… more
    STG International (08/08/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. + Evaluate the… more
    STG International (07/09/25)
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  • Primary Care Physician (PCP)

    STG International (Dunkirk, NY)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
    STG International (07/02/25)
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  • Primary Care Physician (PCP) - PRN

    STG International (Auburn, NY)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. * Provide leadership to CBOC clinicians. * Evaluate the… more
    STG International (06/27/25)
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  • Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    management rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff working with the children's ... in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers...Develops and implements the BH sections of the Quality Management / Utilization Management (QM/UM) Plan, including… more
    Excellus BlueCross BlueShield (08/09/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Ridgewood, NY)
    …experience in care/case management , disease management , population health management , utilization review , quality assurance, or discharge planning ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
    CenterLight Health System (07/25/25)
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  • Clinical Manager - Integrated Care Perm / Brooklyn…

    FlexStaff (New York, NY)
    …experience in care/case management , disease management , population health management , utilization review , quality assurance, or discharge planning ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
    FlexStaff (07/18/25)
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  • Care Delivery Manager

    CenterLight Health System (NY)
    …to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care… more
    CenterLight Health System (08/14/25)
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