• Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Albany, NY)
    …national, state, and local laws and regulatory requirements affecting the medical and clinical staff. MD licenses required for the following states: WA, FL, MI, MS, ... appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership… more
    Molina Healthcare (08/08/25)
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  • Behavioral Health Case Manager

    Independent Health (Buffalo, NY)
    …employment. + Two ( 2 ) years of experience in a behavioral health clinical and/or care coordination setting required. + Experience in a health plan/managed care ... licensed family or marriage therapist (LMFT) or active registered nurse (RN) in NYS required. Certified Case Manager (CCM)...a plan of care based upon providers of care clinical assessments and patients, to identified population along the… more
    Independent Health (08/29/25)
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