• RN Utilization Review - System Care

    Guthrie (Binghamton, NY)
    Provides health care services regarding admissions, case management , discharge planning and utilization review. Responsibilites: Reviews admissions and service ... necessity and/or compliance with reimburesement policy criteria. Provides case management and/or consultation for complex cases. Assists departmental staff...a part of a tradition of excellence in health care . In all areas and at all levels of… more
    Guthrie (07/05/25)
    - Related Jobs
  • Supervisor, Care Review (RN) Utilization…

    Molina Healthcare (Albany, NY)
    …or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing or utilization management experience. + 3+ years ... MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM), Certified Professional in Health Care more
    Molina Healthcare (08/20/25)
    - Related Jobs
  • RN Case Management - Acute Care

    Trinity Health (Troy, NY)
    care team utilizing evidence based practice guidelinesResponsibilities:Engage the patient and care team in the joint management of key patient outcomes such ... We recognize the crucial role you play in the care of every patient treated and we have worked...looking for a position in RN (Registered Nurse) Case Management in a dynamic hospital, this could be your… more
    Trinity Health (07/02/25)
    - Related Jobs
  • Health Home Care Manager I

    HCR Home Care (Rochester, NY)
    …Program clients using the development of person-centered goals, culturally competent care management , and professional healthcare and social service ... 24-hours + Proficiently and accurately use multiple software systems to capture care management notes and related activities, and to provide correction s when… more
    HCR Home Care (08/16/25)
    - Related Jobs
  • Care Manager II - Health Home

    Monroe Plan for Medical Care (Cortland, NY)
    …who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agency, servicing 28 counties and over 2500 members, with ... throughout our service area! We've earned that reputation by providing quality care management focused on compassion, empowerment, and teamwork. Our… more
    Monroe Plan for Medical Care (08/19/25)
    - Related Jobs
  • Care Management Coordinator

    Northwell Health (Nanuet, NY)
    …learning and growth, and overall wellbeing, in conjunction with the pediatric primary care team. + Joins and participates in in-person team-based well visits to ... reach families during primary care appointments. + Creates and maintains up-to-date community partnership...accurate records of caseload data as appropriate for program management , evaluation, and reporting purposes. Job Qualification + Master's… more
    Northwell Health (08/27/25)
    - Related Jobs
  • Care Management Specialist

    NYU Rory Meyers College of Nursing (New York, NY)
    …levels. Share this job (https://uscareers-nyu.icims.com/jobs/14842/ care - management -specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336115631) Need help ... Exchange support services, provide referrals to University specialists or external health- care providers and monitor treatment plans to ensure academic and health… more
    NYU Rory Meyers College of Nursing (07/18/25)
    - Related Jobs
  • Health Home Care Management

    KidsPeace Childrens Hospital (Williamsville, NY)
    Oversee the activities of agency Care Managers to assure the provision of high-quality, family- driven, and youth-guided service that is in accord with the policies ... Health Home, and the NYS Department of Health. Support Care Managers in their efforts to help families and...efforts to help families and children advance the health care status of youth eligible for Health Home service.… more
    KidsPeace Childrens Hospital (07/31/25)
    - Related Jobs
  • RN Home Care Field Nurse

    Ideal Home Care (Hauppauge, NY)
    …and responsibilities: Demonstrates leadership and provides direction to members of the patient care team through case management of patient home health episode ... Registered Nurse is responsible for the delivery of patient care services through coordination, implementation, ad supervision of field...of health care . Case management of patient services includes: A. Initial in home… more
    Ideal Home Care (06/30/25)
    - Related Jobs
  • Care Management Peer Assistant…

    Northwell Health (Glen Oaks, NY)
    …Engages and provides peer support to group health members. Serves as a role model in maximizing wellness and independence. Collaborates with clinical and non-clinical ... team members to ensure culture of support is reflected in member's treatment. Job Responsibility + Provides peer support to group health members, including orientation to programs, service providers, and community resources. + Encourages members, family… more
    Northwell Health (07/29/25)
    - Related Jobs