• 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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  • Coordinator, Intake Utilization Management

    Evolent (Albany, NY)
    …mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Utilization more
    Evolent (01/06/26)
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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 (01/09/26)
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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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  • Utilization Management Representative II

    Elevance Health (Latham, NY)
    ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
    Elevance Health (01/05/26)
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  • Utilization Management Specialist-MSH-Case…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical information ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
    Mount Sinai Health System (01/02/26)
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  • Director Utilization Management

    Healthfirst (NY)
    …to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead ... Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align utilization decisions + Partner with technology and data teams to refine data… more
    Healthfirst (12/04/25)
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  • Director of Vocational & Employment Services

    The Arc Erie County NY (Buffalo, NY)
    …serve. + Monitors implementation of service plans through regular records and utilization of review , case conferences, consultations, and supervision. + Facility ... + Maintains quality programing in accordance with the standards of the Office of Mental Health, ACCES-VR, OPWDD, Commission for the Blind, Department of Labor, and all other funders. + Prepares program reports for internal use and compliance with regulatory… more
    The Arc Erie County NY (11/19/25)
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  • Borough Certification Manager

    City of New York (New York, NY)
    …of DCP Standard Operating Procedures, and contribute to their improvement and consistent utilization by staff; - Review , analyze, and make recommendations and ... and processing land use applications pursuant to the Uniform Land Use Review Procedure (ULURP), and providing technical and policy guidance and direction on… more
    City of New York (11/05/25)
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