• Appeals Manager

    BronxCare Health System (Bronx, NY)
    …department staff when prevented from completing job tasks. - Assists the Administrative Manager and Director with annual review and revisions of departmental ... Overview The Appeals Manager is responsible to assist in the analysis...denial being overturned providing the hospital reimbursement for the care and services provided to the patient. The Denial… more
    BronxCare Health System (06/21/25)
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  • Case Manager Registered Nurse - Specialty…

    CVS Health (Albany, NY)
    …transferring patients to lower levels of care . + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + 1+ ... Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured… more
    CVS Health (08/10/25)
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  • Clinical Program Manager - Clinical Command…

    Mount Sinai Health System (New York, NY)
    …day functions of health-system throughput, transfer center, quality, and delivery of care . The Clinical Program Manager , Clinical Command Center participates in ... **Job Description** The Clinical Program Manager , Clinical Command Center is a Registered Professional...the health system, in the development, implementation, and ongoing review of policies, procedures, and standards of care more
    Mount Sinai Health System (08/09/25)
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  • Assistant Manager FT

    Rise Life Services (Hampton Bays, NY)
    Assistant Manager FT Job Details Job Location Hampton Bays Site 8 - Hampton Bays, NY Salary Range $21.50 - $23.03 Hourly Description Mental Health Assistant ... Residential Manager Under the direct supervision of the Residential ...Program updates + Develop specific Individual Service Plans, conducts review every 90 days as required- and invites all… more
    Rise Life Services (07/23/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Bayside, NY)
    **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
    Fresenius Medical Center (08/08/25)
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  • Advanced Practitioner Provider Manager

    Mount Sinai Health System (New York, NY)
    …Participates in team meetings and conferences to enhance an interdisciplinary approach to care delivery. + Performs a patient record review with the ... **Job Description** **Job Title: Advanced Practitioner Provider Manager - Tisch Cancer Institute-Mount Sinai Hospital- Full Time...ensure that clinical practice, systems are supportive of clinical care . + Promotes utilization of APNs to… more
    Mount Sinai Health System (07/23/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …in the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization , performing continued stay reviews ... efficient utilization of resources. Carries out activities related to utilization management, discharge planning, care coordination and referral to other… more
    Rochester Regional Health (07/25/25)
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  • Process Improvement Manager I-Health System…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Process Improvement Manager I-Health System Operations -Corporate-Full-Time Days-Hybrid** The Health Systems and Process Improvement (HSPI) ... Manager II leads improvement initiatives coordinated by Health System...tools and methodologies + Manages and continuously improves performance review forums and tools, such as monthly business reviews… more
    Mount Sinai Health System (07/03/25)
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  • Contract Manager

    City of New York (New York, NY)
    …children and families by providing child welfare, juvenile justice, and early care services. In child welfare, ACS contracts with private nonprofit organizations to ... stabilize families at risk of a crisis through preventive services and provides foster care services for children not able to safely remain at home. Each year, the… more
    City of New York (05/14/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Jamaica, NY)
    …of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. The ... regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal,… more
    Fresenius Medical Center (07/17/25)
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