• Sr Manager Clinical UM…

    Healthfirst (NY)
    …or equivalent work experience + NYS RN + Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care operations ... concurrent review, and service requests + Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social workers, clinicians,… more
    Healthfirst (11/27/25)
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  • Clinical UM Nurse

    CenterWell (Albany, NY)
    …us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting ... Surgery, Heart, Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical… more
    CenterWell (01/14/26)
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  • Director Utilization Management

    Healthfirst (NY)
    …Medicaid and//or Managed Long-Term Care Plan (MLTCP). + Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care ... **Duties/Responsibilities:** + Provide strategic direction and leadership to UM leaders and teams executing department functions including prior authorizations,… more
    Healthfirst (12/04/25)
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