• Utilization Review Nurse I

    Centene Corporation (New York, NY)
    …care and purchased care system. + Identifies and refers potential cases to Disease Management , Case Management , Demand Management and Transitional Care. ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (08/02/25)
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  • Nurse Manager - Comprehensive Psychiatric…

    Arnot Health (Elmira, NY)
    …in collaboration with administration and Department of Psychiatry. + Assists Case Management /Discharge Planning Coordinator in developing, implementing and ... MAIN FUNCTION: Plan, organize, develop and direct the overall operation and management of the Comprehensive Psychiatric Emergency Program (CPEP) staff and their unit… more
    Arnot Health (08/26/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (08/15/25)
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  • Nurse Manager CVOR: St. Peter's Hospital

    Trinity Health (Albany, NY)
    …a multitude of tasks a few of them being managing the daily case flow, ensuring rapid turnovers, successful recruitment and retention of staff, facilitating decrease ... teams. + The Supervisor acting as Unit Manager assumes responsibility for the management of fiscal and material resources. Abiding by St. Peter's Health Partners… more
    Trinity Health (07/25/25)
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  • Care Manager - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …area preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: ... the quality of care. + Participates in the utilization management process using standards of care to determine the...Manager Position Requirements: + Must have a current Registered Nurse (RN) license. + Graduate from an accredited nursing… more
    Crouse Hospital (07/02/25)
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  • Registered Nurse Manager

    Project Renewal, Inc. (New York, NY)
    …to higher levels of care when necessary. + Participate in multidisciplinary case conferences and treatment planning meetings. + Educate clients on medication ... adherence, health promotion, and disease management . Managerial Duties - OMH Residential Oversight: + Supervise...in Nursing (BSN preferred) + Licensure: Current, unencumbered Registered Nurse (RN) license in New York State + Experience:… more
    Project Renewal, Inc. (09/04/25)
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  • Registered Nurse - Resource Pool Part Time

    Trinity Health (Syracuse, NY)
    …to discharge. + Utilize clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the ... assistance of computerized &/or digital platform that supports the daily management of care. + Responsible for the assessment, planning, implementation,… more
    Trinity Health (08/23/25)
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  • Navigator Registered Nurse Specialist-…

    Northwell Health (New York, NY)
    …ICD-10 diagnoses receive timely follow-up and engagement, including imaging, pain management , and surgical consultations. + Partners closely with Jenna, the Spine ... in promoting patient compliance. + Participates in quality and case review meetings to assess clinical outcomes and identify...+ Current license to practice as a Registered Professional Nurse in New York State required. + 3-5 years… more
    Northwell Health (08/21/25)
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  • Registered Nurse Interventional Radiology

    Trinity Health (Syracuse, NY)
    …the lab. + Utilize clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the plan ... care is rendered to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards… more
    Trinity Health (08/08/25)
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  • Registered Nurse (RN) - Emergency…

    Catholic Health Services (Smithtown, NY)
    …needs, and recognition of patient rights. Utilizes knowledge and expertise in case management provide comprehensive, coordinated, seamless care to individuals ... outcomes - to every patient, every time. Job Details Registered Nurse Responsibilities: Coordinates a patient-focused team in providing direct and collaborative… more
    Catholic Health Services (09/01/25)
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