• Intake Coordinator

    Highmark Health (Buffalo, NY)
    …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review . Ensures all accurate… more
    Highmark Health (09/27/25)
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  • Care Coordinator

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role MagnaCare provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • LPN Care Coordinator

    Intermountain Health (Albany, NY)
    …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
    Intermountain Health (09/03/25)
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  • Project Coordinator

    City of New York (New York, NY)
    …Budget Helpdesk. Direct providers to the Helpdesk e-mail. - Assist with MWBE Utilization submissions in DYCD Financial. Review , reject, and approve submissions ... by DYCD. - Assist unit staff with conducting Desk Review , Mid-Year, and Closeout EMTs - Assist unit staff...are due. - Assist with PASSPort submissions and rejections. Review documents with program managers for final review… more
    City of New York (09/10/25)
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  • Service Coordinator /Dispatcher

    EMCOR Group (New York, NY)
    …duties will likely be assigned. + Monitor personnel or equipment locations and utilization to coordinate service and schedules. + Schedule or dispatch workers, work ... work from start (initial call) to completion (billing). + Review service jobs, quoted jobs, & service projects to...tools and material, and hold the necessary manpower. + Review technicians work orders and identifies opportunities to quote… more
    EMCOR Group (07/26/25)
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  • Dental Treatment Coordinator

    University of Rochester (Rochester, NY)
    …accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . Negotiates down-payments and authorizes repayment status for high dollar, ... referral, verification, and/or service authorization in advance of treatment through review of dental insurance benefits and requirements. Performs other duties for… more
    University of Rochester (08/07/25)
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  • Dental Treatment Coordinator IV

    University of Rochester (Rochester, NY)
    …accuracy of patient schedules. Reviews provider schedules to ensure maximum utilization . + Negotiates down-payments and authorizes repayment status for high dollar, ... referral, verification, and/or service authorization in advance of treatment through review of dental insurance benefits and requirements. + Performs other duties… more
    University of Rochester (08/07/25)
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  • Clinical Manager Registered Nurse - RN - Dialysis

    Fresenius Medical Center (New York, NY)
    …requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality ... + Collaborates closely with, providing oversight as needed to, the Clinical Coordinator /Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director,… more
    Fresenius Medical Center (09/12/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …relationships with payers and communicates confidential information per policy. + Assists Utilization Management with initial clinical review requests as needed. ... function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination of care… more
    Ellis Medicine (08/28/25)
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  • Purchasing Analyst

    City of New York (New York, NY)
    …maintain records of proposed and current Agency's Requirement Contracts. Ensure the utilization of these contracts by Procurement Liaisons. Review specifications ... and exempt purchases (PON1, training and memberships). Ensure the utilization of these procurement methods by Bureaus / Procurement...agency operating bureaus. 5. Act as the Vendor Relations Coordinator for all activities related to the review… more
    City of New York (09/26/25)
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