• RN - Case Manager - Full Time - Days - 4 - 9.5…

    Mohawk Valley Health System (Utica, NY)
    …compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience. ... Preferred: + Associate degree in healthcare related filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be… more
    Mohawk Valley Health System (11/15/25)
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  • Manager of Compliance and Clinical Operations

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …accreditation standards pertaining to its state licensure, third party administrators, utilization review and management requirements. The Manager of Compliance ... and Clinical Operations will also have oversight of HealthDirect's clinical operations and will be responsible for ensuring that clinical standards are strictly managed and adhered to at HealthDirect. **Responsibilities** + Partners with internal and external… more
    KPH Healthcare Services, Inc. (11/14/25)
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  • Counselor (Full Time/Sun-Thurs 8am-4pm)

    Caz Recovery (Buffalo, NY)
    …and record keeping. + Assists with monitoring of clinical documentation and utilization review processes as assigned. + Provides substance use screening, ... intake, orientation and assessment as necessary. + Provides substance use diagnostic impression as determined by LOCADTR. + Provides treatment planning, individual and group counseling, family counseling services, psycho-education and case management services.… more
    Caz Recovery (11/14/25)
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  • Art Therapist

    SUNY Upstate Medical University (Syracuse, NY)
    …accurate attendance and therapy records. Interfaces with nursing, medical staff, utilization review social services, discharge planner, therapy team to ... assist in successful treatment plan and patient discharge. Assess and recommends and requisitions purchases for equipment and supplies that pertain to therapeutic recreation. Abides by department policies and procedures and operational guidelines. Supervises… more
    SUNY Upstate Medical University (11/07/25)
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  • Registration&Insur Mgt Rep III

    University of Rochester (Albany, NY)
    …as required by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. + ... Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies information collected. Maintains confidentiality of all patient information. + Exercises knowledge of sponsorship programs available to patients.… more
    University of Rochester (10/29/25)
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  • Associate Psychologist

    New York State Civil Service (NY)
    …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc. Additional Comments ... This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet… more
    New York State Civil Service (10/16/25)
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  • Care Coordinator- Care Coordination

    Comunilife (Bronx, NY)
    …Program Director to assure quality program service delivery and participates in Utilization Review /Quality Improvement process. + Participate in case finding, ... networking and outreach activities to increase clients' enrollment. + Works closely with agency's program directors to ensure assure continuity of care within the organization. Qualifications Education and Experience Requirement(s) + Associate's Degree in… more
    Comunilife (10/16/25)
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  • Senior Engineer, Agency Planning…

    City of New York (New York, NY)
    …vetting energy savings calculators and reviewing supporting audits, as needed; (2) utilization and review of existing tools, such as energy calculators, ... entities to identify and develop energy efficiency projects through the review of Energy Efficiency Reports (EERs), Energy Master Plans, electrification… more
    City of New York (11/27/25)
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  • Substance Misuse Counselor - 00362 - Mon-Fri…

    WellLife Network (Bronx, NY)
    review goal progress, identify participant needs and update program plan and / or utilization of review plans. 31. Represent the program and the agency at ... personalized treatment plan. Assist in the completion of documentation and the review of case records. **Essential Responsibilities:** 1. Intake assessment of all… more
    WellLife Network (11/06/25)
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  • Quality Management Specialist I

    DePaul (Rochester, NY)
    …trends for reporting and follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual record audits, ... Management Plan within the corporation. + Incident Management - review incident reports and provide feedback and recommendations(site-specific). Responsible for… more
    DePaul (10/10/25)
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