• Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Flushing, NY)
    …in care/ case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably within ... medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of Health policies and… more
    CenterLight Health System (04/26/25)
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  • Care Manager

    Rochester Regional Health (Rochester, NY)
    …in Nursing (ASN) PREFERRED QUALIFICATIONS: * 3 years of acute hospital care, Nursing, Case Management, or Utilization Management experience preferred * Case ... Assistance + Employee Referral Program + Free Parking Job Title: Care Manager - RN Department: Social Work Location: Riedman Campus/Unity Hospital Hours Per Week:… more
    Rochester Regional Health (04/30/25)
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  • Manager , Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance ... appeals on our behalf. * Data-Driven Decisions: Maintain the integrity of our case files and data collection systems. Prepare insightful reports and analyses that… more
    VNS Health (03/05/25)
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  • Maintenance Process Excellence Manager

    GAF (Albany, NY)
    …this roof, we protect what matters most. **Team Summary** The Maintenance Excellence Manager is a key member of the Corporate Reliability & Maintenance team and ... with the site Planners/Schedulers/Supervisors and can tailor site-specific needs on a case -by- case basis. + Works with supporting organizations on a unified… more
    GAF (03/16/25)
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  • Care Delivery Manager Perm / Ridgewood,…

    FlexStaff (New York, NY)
    **Req Number** 155467 FlexStaff is looking for a Care Delivery Manager . JOB PURPOSE: Responsible for supporting the nursing standards of excellence with advance ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure effective development and execution of personalized care… more
    FlexStaff (04/08/25)
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  • Clinical Assessment RN Manager - Bronx…

    FlexStaff (Bronx, NY)
    …in Managed Care Programs (MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management, disease management, utilization review , or quality assurance. + ... **Req Number** 157287 Clinical Assessment RN Manager - Bronx FlexStaff is seeking a full-time...using UAS-NY for prospective and enrolled PACE participants. + Review and update previous assessments, primary diagnoses, and medications… more
    FlexStaff (05/01/25)
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  • Ambulatory Care Manager

    WMCHealth (West Nyack, NY)
    …based on the results of the comprehensive needs assessment performed by the Care Manager through extensive medical record review , face to face and/or telephonic ... Ambulatory Care Manager Company: Bon Secours Charity Medical Group City/State:...palliative care consultations. . Develops and collects data; analyzes utilization of health care resources, including interpretation and application… more
    WMCHealth (04/24/25)
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  • Technical Customer Experience Manager

    Cisco (New York, NY)
    …this role is New York, New York. Meet the Team As a Customer Experience Manager , you will play a pivotal role in driving the successful adoption and utilization ... execution * Lead Customer Value Workshops and QBRs to review adoption progress and drive customers outcomes and benefits...protected basis. Cisco will consider for employment, on a case by case basis, qualified applicants with… more
    Cisco (03/25/25)
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  • Care Delivery Manager

    CenterLight Health System (Ridgewood, NY)
    …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...maintaining optimal health status. + Collaborate with clinicians to review UAS and the UAS analyzer system to ensure… more
    CenterLight Health System (04/17/25)
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  • Manager , HCS Operations Support

    Molina Healthcare (Rochester, NY)
    …that support one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of care and quality of Molina services provided. * Functions as hands-on manager responsible for supervision and coordination of daily activities. * Ensures adequate… more
    Molina Healthcare (05/02/25)
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