• Associate Director, Regulatory Intake…

    Humana (Albany, NY)
    …of management experience + Advanced experience working in compliance, risk management , or managed- care field + Strong communication skills with the ability ... required to work in either Central or Eastern Time. Associate Director, Regulatory Intake Compliance is responsible for enterprise-wide regulatory monitoring,… more
    Humana (07/30/25)
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  • Medical Director, Clinical Review and Care

    MVP Health Care (Schenectady, NY)
    … quality, optimizing service and medication utilization, improving adherence, advancing care management strategies, and managing healthcare costs. + Participate ... of 5 years of clinical practice experience + Managed care , utilization management , or health plan operations...regulatory requirements. + Provide clinical support across Utilization Management , Case Management , Appeals, and other Health… more
    MVP Health Care (07/31/25)
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  • Registered Nurse Care Management

    Catholic Health (Buffalo, NY)
    Care Manager, Transition of Care , as an active member of the Care Management and interdisciplinary care team, provides comprehensive case ... and families in the hospital setting. Utilizing foundational case management and discharge planning principles, the RN Care...needs. The RN Care Manager, Transition of Care serves as a resource for education more
    Catholic Health (07/02/25)
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  • Care Manager II - Health Home

    Monroe Plan for Medical Care (Syracuse, NY)
    …who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agencies serving 28 counties and over 3000 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 (07/10/25)
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  • RN Acute Case Manager - System Care

    Guthrie (Binghamton, NY)
    …a significant depth of clinical experience: five (5) years of experience in an acute care setting with strong care management , utilization review, and payer ... a) Incorporates available current evidence based data for clinical care management . b) Demonstrates knowledge of federal,...through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education more
    Guthrie (05/13/25)
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  • Associate, Integrated Care

    MVP Health Care (Tarrytown, NY)
    At MVP Health Care , we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, ... we're looking for an **Associate, Integrated Care ** to join #TeamMVP. If you have a passion...communication skills. + Detail-oriented with strong organizational and time management skills. + Ability to work independently and prioritize… more
    MVP Health Care (08/01/25)
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  • Supervisor, Health Homes Care

    Graham Windham (Bronx, NY)
    Supervisor, Health Homes Care Management , Bronx Job Details Job Location 1946 Webster Avenue, Bronx, NY 10457 - Bronx, NY Position Type Full Time Salary Range ... $65000.00 Salary/year Description Position Title: Supervisor, Health Homes Care Management Position Type: Full Time, Salary,...from service to service and across and within systems ( education , foster care , juvenile justice, child to… more
    Graham Windham (06/20/25)
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  • Nurse Manager- Home Care

    BAYADA Home Health Care (Bronx, NY)
    …of pediatric home care services. This role ensures that all care provided meets clinical standards, regulatory requirements, and organizational goals. The ... physicians and families + Conduct supervisory home visits to ensure adherence to care plans, nursing standards, and regulatory guidelines + Monitor clinical… more
    BAYADA Home Health Care (07/13/25)
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  • RN or LPN - Home Care Coordinator

    HCR Home Care (East Syracuse, NY)
    Salary Range: $60,500.00 - $88,000.00 Annually Role and Responsibilities : The Home Care Coordinator (HCC) is a NYS licensed RN or LPN who participate s in ... and discharge planning during a patient's transition from acute care to the home care setting. The...to facilitate the referral process. Documents according to facility/agency regulatory guidelines. + Functions as a team with fellow… more
    HCR Home Care (07/30/25)
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  • RN Case Manager - Home Care Visits…

    HCR Home Care (Watertown, NY)
    …of the agency to patients and families as a part of planning for care . + Meeting regulatory requirements and having a comprehensive understanding of various ... The RN Case Manager will a dminister skilled nursing care to patients requiring professional nursing service. Teach and...+ Other duties as assigned. This job description reflects management 's assignment of essential functions; and nothing in this… more
    HCR Home Care (07/26/25)
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