• Medical Investigator I/II ( RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
    Excellus BlueCross BlueShield (09/17/25)
    - Related Jobs
  • LPN / RN Assisted Living Memory Care

    Rochester Presbyterian Home (Rochester, NY)
    …an advocate for elders, coordinating and linking all aspects of their care with the case manager . + Ensure that Care Partners/Shahbaz are aware of each elder's ... Time, Per Diem Pay Range: LPN $25.00 - $29.00 RN $29.00 - $32.00 Shift: Day, Evening- All candidates... $29.00 - $32.00 Shift: Day, Evening- All candidates must be willing to work rotating weekends and rotating… more
    Rochester Presbyterian Home (09/17/25)
    - Related Jobs
  • Clinical Nurse Manager (O-6 Billet)…

    Immigration and Customs Enforcement (Batavia, NY)
    …and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional licensure. ... Summary The Clinical Nurse Manager oversees nursing services at...and assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care, compliance with clinical… more
    Immigration and Customs Enforcement (10/05/25)
    - Related Jobs
  • Senior Discharge Plan Manager , Casual

    UPMC (Jamestown, NY)
    …Social Worker (LSW) OR Other Healthcare Professional Licenses for Discharge Planning OR Registered Nurse ( RN ) **UPMC is an Equal Opportunity ... RN or Social Worker interested in care management, case management, or care coordination? UPMC Chautauqua is looking...UPMC Chautauqua is looking for a **Senior Discharge Plan Manager ** to support their Clinical Care Coordination and Discharge… more
    UPMC (12/08/25)
    - Related Jobs
  • Manager Patient Management

    Kaleida Health (Buffalo, NY)
    …degree in nursing or health related profession (ie social work) preferred. Registered nurse license required. Case management certification preferred.** ... ** Manager Patient Management** **Location:** **Oishei Children's Hospital** **Location...must maintain their knowledge of leading practices in case management, transition planning to post-acute setting, population health,… more
    Kaleida Health (12/04/25)
    - Related Jobs
  • Nurse

    Outreach Development Corporation (Brentwood, NY)
    …visit www.opiny.org. Position: Registered Nurse Outreach is seeking an experienced Registered Nurse ( RN ) to work in our residential facility. The ... level quality improvement meetings. + Participate in unit meetings, case conferences, in-service trainings and other meeting formats. +...Director in collaboration with Program Director Qualifications + NYS Registered Nurse ( RN ) + Previous… more
    Outreach Development Corporation (11/24/25)
    - Related Jobs
  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …In the role of an Social Work Care Manager , you will partner with the Registered Nurse and are a critical resource for our members as you are responsible for ... or caregivers and reports changes in conditions to the RN Care Manager , which may require interventions....Work experience with at risk populations in home care, case management, discharge planning or managed care. + Minimum… more
    Elderwood (12/11/25)
    - Related Jobs
  • Operations Manager - VBCM (Remote)

    Sharecare (Albany, NY)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... results). + High energy individual with positive, enthusiastic approach. Must be comfortable with ambiguity of program. + Self-directed...Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and… more
    Sharecare (11/25/25)
    - Related Jobs
  • Clinical Documentation Improvement (CDI)…

    Crouse Hospital (Syracuse, NY)
    …department leadership . CDI Manager Requirements: + Must be licensed as a Registered Nurse ( RN ) in New York State. + Bachelor's degree in business, ... Information Management team is hiring a Clinical Documentation Improvement (CDI) Manager . Pay Range: $115,000.00 - $135,614.00 / annual Schedule(s): Full Time,… more
    Crouse Hospital (12/12/25)
    - Related Jobs
  • Nurse -PT

    Outreach Development Corporation (Brentwood, NY)
    …health and/or substance abuse treatment or related setting; Outreach is seeking an experienced Registered Nurse ( RN ) to work in our adolescent residential ... smoking cessation, sexually transmitted diseases, pregnancy prevention, etc Qualifications + NYS Registered Nurse ( RN ) + Previous experience working as… more
    Outreach Development Corporation (11/28/25)
    - Related Jobs