• Utilization Management

    FLACRA (Clifton Springs, NY)
    Utilization Management Specialist FLACRA Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.50/Hour Apply Now ... (https://flacra.jobs.net/apply/jqn6gn6t2h294xv9ngh?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Utilization Management Specialist Location:Finger Lakes… more
    FLACRA (12/19/25)
    - Related Jobs
  • Utilization Management

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
    Mount Sinai Health System (10/03/25)
    - Related Jobs
  • Insurance Specialist

    Trinity Health (Syracuse, NY)
    Specialist under general supervision, supports the administrative requirements for Utilization Management and works collaboratively with Utilization ... of possible concurrent denials, forwards information to the appropriate Utilization Management /Concurrent Review Nurse within identified process standards… more
    Trinity Health (11/05/25)
    - Related Jobs
  • Quality Management Specialist I

    DePaul (Rochester, NY)
    Overview The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the ... appropriate. + Provide support to the Quality Management Vice-President, Quality Management Director and Quality Management Specialist II as requested.… more
    DePaul (10/10/25)
    - Related Jobs
  • Energy Management Specialist

    Williamsville Central School District (East Amherst, NY)
    …position. The selected candidate must currently be appointed to a Competitive Energy Management Specialist position or will be hired provisionally and be ... audits of facility to ensure efficient operation, proper space utilization and compliance with the district's energy policy; +...required to take the next scheduled Energy Management Specialist test and be reachable on… more
    Williamsville Central School District (12/11/25)
    - Related Jobs
  • Mental Health Program Specialist 2, Central…

    New York State Civil Service (Albany, NY)
    …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review. ? The ideal candidate(s) ... Agency Mental Health, Office of Title Mental Health Program Specialist 2, Central Office; Occupational Category Other Professional Careers...will have direct care and utilization management experience, including familiarity with the… more
    New York State Civil Service (12/09/25)
    - Related Jobs
  • Clinical Pharmacy Specialist , Pharmacy…

    Northwell Health (New Hyde Park, NY)
    …for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug therapy ... Experience in formulary management , P&T committee support, and/or utilization management (PA, ST, QL) criteria development + Experience with benefit design,… more
    Northwell Health (12/20/25)
    - Related Jobs
  • Mental Health Program Specialist 1/Trainee,…

    New York State Civil Service (Albany, NY)
    …Yes Agency Mental Health, Office of Title Mental Health Program Specialist 1/Trainee, Central Office; Occupational Category Other Professional Careers Salary Grade ... of Mental Health (OMH) is recruiting to fill one Mental Health Program Specialist 1, Grade 18, position in the Behavioral Health Crisis Technical Assistance Center… more
    New York State Civil Service (12/19/25)
    - Related Jobs
  • Self Directed Billing Specialist - Arc…

    Arc Allegany-Steuben (Hornell, NY)
    …money, why wait to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely, accurate, and compliant billing for services ... requires proficiency with EVero software to manage billing processes, track utilization , reconcile records, and ensure all billing is submitted to accounting… more
    Arc Allegany-Steuben (11/13/25)
    - Related Jobs
  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_...is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization more
    Stony Brook University (12/20/25)
    - Related Jobs