• Manager Heath Insurance & Prior Auth. Coords

    University of Rochester (Rochester, NY)
    …policies for all operational procedures, maintain organized employee records, monitor supervisor 's performance, stay up to date with payer regulations and ... and provide feedback on evaluations for direct and indirect reports. + Review and evaluate proposed promotions or terminations as appropriate. + Participate and… more
    University of Rochester (08/14/25)
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  • Dental Treatment Coordinator Lead

    University of Rochester (Rochester, NY)
    …and support to Administrative support staff. Assigns and checks work. Assists supervisor in preparing performance evaluation data. Assumes functions of supervisor ... assistance to Administrative support staff. Assigns and checks work. Assists supervisor in preparing performance evaluation data. Assumes functions of supervisor more
    University of Rochester (08/07/25)
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  • RN Lead, HCS (Clinical) Remote with field travel…

    Molina Healthcare (Syracuse, NY)
    …role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate ... day-to-day operations that involve clinical HCS staff. Communicates findings to the Supervisor or Manager, HCS Department for resolution. + Maintains a minimal… more
    Molina Healthcare (08/15/25)
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  • UM Assistant

    Independent Health (Buffalo, NY)
    …innovation and collaboration. **Overview** The UMA provides administrative support to the Utilization Management, departments. The UMA is the first line of review ... entry of requests, preparation of the documents for clinical review and/or administrative review per standard operating...attainment of productivity and quality metrics. + Assist the supervisor with the onboard of new staff as needed.… more
    Independent Health (08/09/25)
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  • Registered Nurse - SCHI Triage

    Rochester Regional Health (Rochester, NY)
    …Life Support (BLS) certification PREFERRED QUALIFICATIONS + Acute care, chart review , utilization , or nursing triage experience strongly preferred. EDUCATION: ... resolution. * Provides input regarding protocols, policies and procedures to immediate supervisor . * Provides training / precepting for new team members on the… more
    Rochester Regional Health (08/14/25)
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  • VPS Care Coordinator

    City of New York (New York, NY)
    …coordination by working with other agencies providing these services. - Collaborate with supervisor to continuously improve methods to use VPS and health system data ... improving the use and effectiveness of the program, compare utilization of and outcomes for the four different entities...health and support alliances. Collaborate with these agencies to review data and results and implement changes as needed… more
    City of New York (08/13/25)
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  • Clinical Director Of Behavioral Health Resid

    Villa of Hope (Rochester, NY)
    …Ensures full participation of Tuckahoe staff in compliance, quality assurance, utilization review , and program evaluation activities. Maintains operating ... Programs POSITION GRADE: 86 DEPARTMENT/PROGRAM: Tuckahoe, LHTC, & School Clinicians SUPERVISOR : Chief Program Officer FLSA: Exempt SALARY RANGE: $85,000 - $106,834… more
    Villa of Hope (07/02/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Ridgewood, NY)
    …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
    CenterLight Health System (07/25/25)
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  • Clinical Manager - Integrated Care Perm / Brooklyn…

    FlexStaff (New York, NY)
    …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... clinical onboarding and reassessment, UAS-NY completion, comprehensive assessment, medication review , and post-hospital discharge evaluation. The Clinical Assessment Manager… more
    FlexStaff (07/18/25)
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  • PRN/Part Time Behavioral Health Technician

    BriteLife Recovery (West Kill, NY)
    …+ Under direction of supervisor , establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, limit ... follow the direction of the Clinical Director and BHT Supervisor and safely transport clients in a timely fashion...damage to the vehicle or unsafe conditions to the Supervisor . + At the end of each shift, leave… more
    BriteLife Recovery (08/13/25)
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