Top Healthcare Services Jobs in New York City, NY

Provide utilization review determinations and clinical guidance for oncology populations, support case and disease management, apply NCCN evidence-based guidelines, engage treating providers, educate nursing teams, analyze clinical and utilization data, and collaborate on enterprise research and quality initiatives to improve oncology care.

Field-based behavioral health advocate who engages Medicaid enrollees, links them to community services, coordinates aftercare, conducts follow-up, liaises with providers, and manages high-risk member outreach to prevent rehospitalization.

Field-based behavioral health advocate providing community linkage, aftercare planning and follow-up for Medicaid-enrolled adults. Works with hospitals, providers, and community resources to prevent rehospitalization, address care gaps, and coordinate services. Spends most time meeting enrollees in facilities and homes and documents outreach and care plans.

Provide clinical oversight for utilization management of child and adolescent behavioral health, lead peer reviews and consultations, ensure compliance with regulations, implement evidence-based treatment guidelines, and collaborate with multidisciplinary teams to support quality assurance and care coordination.