• RN/Case Manager -MSH-Case…

    Mount Sinai Health System (New York, NY)
    …Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a ... a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...b. Provides the clinical information requested by the managed care companies as part of the concurrent review… more
    Mount Sinai Health System (10/29/25)
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  • Care Manager -RN

    Rochester Regional Health (Rochester, NY)
    SUMMARY As a Registered Nurse - Care Manager , your excellent interpersonal, leadership and collaboration skills ensure the appropriate allocation of hospital ... Time ATTRIBUTES + Three (3) years of acute hospital care , case management or utilization management experience...care payment principles helpful RESPONSIBILITIES + Evaluation & Review . Evaluate hospital admissions to assure care … more
    Rochester Regional Health (11/24/25)
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  • Behavioral Health Care Manager II…

    Elevance Health (Latham, NY)
    …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Manager II - ABA** Location: ... Friday, 8:00 am to 5:00 pm** The **Behavioral Health Care Manager II** is responsible for managing...autism services and behavioral health treatment benefits through written review . **How you will make an impact:** + Uses… more
    Elevance Health (11/19/25)
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  • RN/Case Manager (Inpatient)-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …+ Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or ... 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...12. Provides the clinical information requested by the managed care companies as part of the concurrent review… more
    Mount Sinai Health System (11/05/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home… more
    Ellis Medicine (10/24/25)
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  • Nurse Case Manager : Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …a changing environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... for assigned service line across the continuum of care . The Case Manager works proactively with... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate… more
    Albany Medical Center (11/03/25)
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  • Case Manager , RN (FH)

    Northwell Health (Forest Hills, NY)
    …a case management intake assessment.Orients patient to the role of the case manager , the goals of care and expected length of stay.Discusses with ... utilization , consultation and treatment plan.Participates in interdisciplinary patient care rounds.Discusses estimated length of stay, treatment and discharge… more
    Northwell Health (11/07/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... at our Westbury, NY branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care ...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
    CenterWell (09/30/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...our patient population. Qualified candidates will demonstrate superior patient care and possess outstanding communication skills while adhering to… more
    Stony Brook University (10/23/25)
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  • Case Manager - UM II -100%

    Healthfirst (NY)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is also responsible for...care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of… more
    Healthfirst (11/25/25)
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