• Long Term Care LPN | Evening Shift…

    Amergis (Batavia, NY)
    …this individual performs according to nursing standards and isaccountable in managing patient care and assisting others in the management ofpatient care . ... Salary: $38 / Hour The Long Term Care LPN assumes responsibility andaccountability for the delivery... LPN assumes responsibility andaccountability for the delivery of care for patients in a Long TermCare/Assisted Living Facility.… more
    Amergis (08/28/25)
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  • Quality Assurance Nurse LTC

    Centene Corporation (Queens, NY)
    …and train staff in the Long Term Care Department. Potentially working to review care management activities / records of the Care Management Teams ... improvement plans. + Work with colleagues across business units such as Care Management and Regulatory Compliance to ensure that process and procedural changes… more
    Centene Corporation (08/27/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …support for any of the programs of Utilization Management , Behavioral Health, Quality Management , or Member Care Management . This position acts as a ... and provider correspondence related to authorization detail, disease conditions and/or care management program services. Assures accuracy and timeliness of… more
    Excellus BlueCross BlueShield (08/27/25)
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  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …treating physician or other providers of care . + Collaborates with hospital, home care , care management , and other providers effectively to ensure that ... of coding standards + Maintains current and working knowledge of Utilization Management Standards. + Experience in interpreting managed care benefit plans… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Behavioral Health Medical Director - Medicare

    Humana (Albany, NY)
    …The Behavioral Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, ... work, communication of decisions to internal associates, and possible participation in care management . Has discussions with external physicians by phone to… more
    Humana (08/09/25)
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  • Pain Management Nurse Practitioner

    Nuvance Health (Poughkeepsie, NY)
    …relevant specialty (eg, PainManagement, Family, or Adult). * Previous experience in pain management , palliative care , or a related field preferred * New ... *Overview* The Nuvance Health Medical Practice Division of Pain Management has an excellent opportunity for a Pain ...with 264 private medical/surgical patient rooms and 30 critical care rooms. Vassar provides the leading acute and critical… more
    Nuvance Health (08/16/25)
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  • Data Science Analyst II - Enterprise Data…

    Mount Sinai Health System (New York, NY)
    …to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps to identify, understand and prioritize at-risk members ... in need of care management . Helps stratify our membership to optimally use resources to focus on the patients most in need, currently or in the future. 3.… more
    Mount Sinai Health System (08/15/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Albany, NY)
    …population health management . **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + Experiencein ... in primary care , or healthcare consulting in primary care or population health management . + 3 years of experience in data analysis, interpretation, and… more
    Highmark Health (08/20/25)
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  • Registered Nurse- Pulmonary Case Manager

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …needs of patients and their families/caregivers, through participation in interdisciplinary patient care management practice. The CM RN also evaluates care ... based on age-specific components. Assumes responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction… more
    Veterans Affairs, Veterans Health Administration (08/19/25)
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  • Facilities Management Director

    Compass Group, North America (Warwick, NY)
    …director level in areas of engineering, maintenance, and construction in a health care institution Previous Facilities Management experience in an acute care ... Forms of Compensation:** 9% Yearly Director Bonus Potential **Facilities Management Director - WMCH Saint Anthony Community Hospital** **Crothall Healthcare**… more
    Compass Group, North America (08/15/25)
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