• RN - Cfss - Hybrid Schedule (Home Care RN…

    HCR Home Care (Plattsburgh, NY)
    … Review and approve all interim orders before they are sent to physician. Notify Clinical Manager when unable to approve the order. + Provide support to the ... Supervisor (CFSS) is an integral part of the patient care team and continually monitors the services provided. This...conferences, as needed, and process recert/discharge decisions based on clinical documentation and input from case manager ,… more
    HCR Home Care (09/03/25)
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  • Manager , Risk Adjustment Coding Support

    Evolent (Albany, NY)
    …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Manager , Coding Support Specialist** Evolent Care Partners is seeking a Risk ... and timely ICD-10 coding of claims via progress note clinical documentation review . + Ensure compliance and...Develop and provide ongoing training and support to health care providers on clinical documentation requirements, risk… more
    Evolent (08/14/25)
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  • Hospital to Home Case Manager

    CDPHP (Latham, NY)
    …with a focus on readmission avoidance. Specific activities include member outreach, medication review , identifying barriers to care , care planning and ... (RN) is responsible and accountable for coordinating the care of CDPHP members who meet criteria for services...+ Bachelor's degree in Nursing preferred. + Certified Case Manager (CCM) certification preferred. + PRI (Patient Review… more
    CDPHP (08/03/25)
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  • Assistant Nurse Manager Operating Room

    UHS (Binghamton, NY)
    … care is delivered consistently. This role involves supervising clinical staff, assisting with scheduling, promoting patient safety, and supporting staff ... development. The ideal candidate demonstrates strong leadership, clinical expertise, and a commitment to excellence in...fostering a culture of professional communications. + Assists Nurse Manager in development of care delivery models… more
    UHS (07/25/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …adhering to our high standard of excellence. **Duties of a TH Staff Associate/Case Manager in the Care Management Department may include the following but are ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will… more
    Stony Brook University (07/16/25)
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  • Registered Nurse (RN) - Utilization Review…

    Monroe County, NY (Rochester, NY)
    …responsibility for providing nursing care that may include bedside and/or clinical care to convalescent, chronically ill, and seriously ill patients in ... List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered...a health care facility, an outpatient clinic or a public health… more
    Monroe County, NY (08/02/25)
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  • Senior Clinical Specialist - Bronx,…

    Medtronic (Bronx, NY)
    …within job area. May manage projects, requiring delegation of work and review of others' work product . **Required Knowledge and Experience:** Requires advanced ... interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements… more
    Medtronic (09/03/25)
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  • Program Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    …College, Department of Neurology and Director of Alzheimer's Program, the Program Manager will oversee the day-to-day clinical and administrative operations of ... with multidisciplinary teams including physicians, APPs, residents as well as clinical and administrative personnel. The Manager possesses strong leadership… more
    Albany Medical Center (08/25/25)
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  • Case Manager , RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers ... interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Case Manager -PT/PD

    Ellis Medicine (Schenectady, NY)
    …by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers ... The RN Case Manager has responsibility for case management of assigned...review , and discharge planning experience highly preferred. Home care , payer, or other experience will be considered. PHYSICAL… more
    Ellis Medicine (08/28/25)
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