• Case Manager - Case…

    Arnot Health (Elmira, NY)
    …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
    Arnot Health (05/08/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID 2025-5593 more
    Helio Health Inc. (07/11/25)
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  • Manager , Utilization…

    Healthfirst (NY)
    … including preauthorization of outpatient or inpatient services + Knowledge of utilization management /quality management case philosophies and ... **Duties/Responsibilities:** + Oversees utilization management functions which include timely...treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, and/or TruCare… more
    Healthfirst (07/02/25)
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  • Utilization Review Manager

    Phoenix House (Wainscott, NY)
    ** Utilization Review Manager ** **Job Details** **Job Location** East Hampton Residential - Wainscott, NY **Position Type** Full Time **Education Level** Graduate ... Morning **Job Category** Nonprofit - Social Services **Description** **SUMMARY** The Utilization Review (UR) Manager coordinates commercial, and Medicaid Managed… more
    Phoenix House (06/25/25)
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  • RN/ Case Manager -MSH- Case…

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...patients where utilization review, discharge planning, and/or case management will be needed using standardized… more
    Mount Sinai Health System (07/15/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case Management certification ... Position Summary: The Acute Case Manager utilizes industry accepted processes...members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria.… more
    Guthrie (05/13/25)
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  • Case Manager , RN/Per Diem-…

    Northwell Health (Staten Island, NY)
    …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... of patient care outcomes. + Submits data to management regarding case management and/or... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
    Northwell Health (07/10/25)
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  • RN Case Manager - Case…

    Guthrie (Corning, NY)
    …RNs! Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the ... an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient...concise & timely manner as deemed appropriate by the case manager . 3. Identifies individual patient discharge… more
    Guthrie (06/24/25)
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  • RN Case Manager - Case…

    Mohawk Valley Health System (Utica, NY)
    RN Case Manager - Case Management - per diem Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case ... Education/Experience Requirements Required: + Minimum of two (2) years utilization review/ case management experience or social work experience. Preferred:… more
    Mohawk Valley Health System (07/09/25)
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  • RN/ Case Manager -Inpatient-Mount…

    Mount Sinai Health System (New York, NY)
    …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** **RN/ Case Manager Inpatient Mount Sinai West...patients where utilization review, discharge planning, and/or case management will be needed using standardized… more
    Mount Sinai Health System (07/08/25)
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