• Utilization Management…

    CVS Health (Albany, NY)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
    CVS Health (10/21/25)
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  • LTSS Service Coordinator-RN Clinician

    Elevance Health (Buffalo, NY)
    …accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Clinician ** is responsible for overall management of member's case within the ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
    Elevance Health (08/10/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Yonkers, NY)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT… more
    Molina Healthcare (10/18/25)
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  • Social Worker - Inpatient Behavioral Health

    Garnet Health (Harris, NY)
    …case management , and discharge planning for non-psychiatric patients. The Clinician is also responsible for obtaining insurance approval for inpatient ... your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The… more
    Garnet Health (08/26/25)
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  • Military & Family Life Counselor- Adult Embedded

    Magellan Health Services (Fort Drum, NY)
    …- Driver License, Valid In State - OtherOther, Must be an independently licensed behavioral health clinician - Care MgmtCare Mgmt License and Certifications - ... wellness presentations, and consultation to the assigned brigade/regiments command regarding behavioral health issues with an understanding of the military unit,… more
    Magellan Health Services (08/29/25)
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  • Social Worker - Troy, NY - full time

    Trinity Health (Troy, NY)
    …Region. Ambulatory Care Behavioral Health Social Worker provides advanced clinician social work services, care planning, case management , and community ... actively participates in QI initiatives within the hospital ambulatory setting. The Behavioral Health Social Worker plays a significant role within our Accountable… more
    Trinity Health (10/21/25)
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  • Clinical Coordinator - Psych ACT Team

    University of Rochester (Brighton, NY)
    …who interact with the most challenging and vulnerable patient population in Behavioral Health clinical services. The Clinical Coordinator is also an integral member ... and data reporting. Work with Strong Ties leadership and Dept of Psychiatry Utilization Review team to address documentations concerns in a timely way and… more
    University of Rochester (08/07/25)
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