• Utilization Case Manager - Inpatient…

    Helio Health Inc. (Syracuse, NY)
    …+ Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care , or managed care setting. ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
    Helio Health Inc. (10/30/25)
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  • Utilization Manager -OASAS Program

    Samaritan Daytop Village (Rhinebeck, NY)
    …goal of sustaining high quality care /service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff as ... needed with assuring compliance with external and internal utilization review /quality and appropriateness requirements. What qualifications do you need: +… more
    Samaritan Daytop Village (10/29/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... of three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional… more
    CenterWell (11/22/25)
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  • RN Acute Case Manager - System Care

    Guthrie (Binghamton, NY)
    …five (5) years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management ... for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration… more
    Guthrie (08/27/25)
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  • Case Manager , Medicaid Long Term Support…

    MVP Health Care (Rochester, NY)
    …capability through the coordination of quality cost effective care . + The Case Manager will also monitor and review cases with the Medical Director to ensure ... At MVP Health Care , we're on a mission to create a...improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program** to join #TeamMVP.… more
    MVP Health Care (11/25/25)
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  • Care Manager - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …education and outreach programs. Crouse's Care Coordination Services team is hiring a Care Manager to review the services delivered to patients and ... Time, 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Care Manager Position Responsibilities: + Works collaboratively with the… more
    Crouse Hospital (10/01/25)
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  • Registered Nurse Case Manager II - Home…

    Rochester Regional Health (Rochester, NY)
    …+ Practices according to Agency and community standards + Participates in utilization review and/or continuous quality improvement activities as requested. + ... Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West...Manages more complex assignments and larger caseloads with appropriate utilization of services. REQUIRED QUALIFICATIONS: + Level I -… more
    Rochester Regional Health (09/23/25)
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  • Clinical Assessment Manager - Care

    CenterLight Health System (Ridgewood, NY)
    …in care /case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably within ... review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of Health policies and regulations… more
    CenterLight Health System (10/24/25)
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  • Registered Nurse (RN) Care Manager

    Whitney Young Health Center (Albany, NY)
    Registered Nurse (RN) Care Manager (Req 100984) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a part of the ... RESPONSIBILITIES: Using principles of Patient Centered Medical Home (PCMH), the Care Manager (RN) will demonstrate professional nursing practice, excellent… more
    Whitney Young Health Center (11/15/25)
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  • Registered Nurse Care Manager

    Catholic Health (Buffalo, NY)
    …years acute care and/or community health nursing + Preferred prior insurance /managed care / utilization review experience in the role of a Case Manager ... Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse (RN) Care Manager -Transition of Care , as an active member of the Care more
    Catholic Health (10/08/25)
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