• Utilization Manager Reviewer, RN

    Excellus BlueCross BlueShield (Rochester, NY)
    …to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, ... Essential Accountabilities: Level I + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Care Coordinator RN SJC Mercy Comprehensive…

    Catholic Health (Buffalo, NY)
    …Degree in Nursing required + Current, unrestricted licensure by New York State as a Registered Nurse ( RN ) required EXPERIENCE + Minimum of (1) year ... performance and process improvement and provides operational and clinical support to the site Office Manager ....experience as a registered nurse required + One year previous case ,...experience as a registered nurse more
    Catholic Health (07/23/25)
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  • Care Manager , Ltss ( RN )

    Molina Healthcare (NY)
    …health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (08/09/25)
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  • Clinical Nurse Manager (O-6…

    Immigration and Customs Enforcement (Batavia, NY)
    …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care,...Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager more
    Immigration and Customs Enforcement (08/15/25)
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  • RN Care Manager - Sunnview…

    Trinity Health (Schenectady, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Care Manager ** **-Sunnyview** **Acute Rehab Hospital -Full Time** If you are looking ... for a Full-Time non-bedside RN position in Case Management in the...RN License Required + BS in Nursing or clinical practice preferred + Community Health experience and/or CRRN… more
    Trinity Health (08/23/25)
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  • RN - OB/GYN Office

    Albany Medical Center (Albany, NY)
    …Practice Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Ob/Gyn Office - Albany, ... care. Under the Supervision of the Nursing Supervisor and/or Nurse Manager , the RN provides...Registered Nursing program is required * NYS current RN licensure is required * Previous nursing experience in… more
    Albany Medical Center (07/08/25)
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  • Nurse Case Manager - Part…

    Nuvance Health (Poughkeepsie, NY)
    …through various affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case ... stay and level of care using a combination of clinical information, clinical criteria, and third party...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more
    Nuvance Health (07/19/25)
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  • RN Re-visit Nurse - Eddy Senior Care…

    Trinity Health (Schenectady, NY)
    …in Eddy Senior Care through teaching, counseling, and appropriate preventive services. The Registered nurse ( RN ) is responsible for assessment of health ... our facility, and as may be required by the Nurse Manager of Clinical Operations,...transportation service, adult daycare program, home delivered meals, activities, RN case management, social work, and more!… more
    Trinity Health (06/04/25)
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  • Case Manager at St Peters Hospital…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** Posting ** RN Case Manager ** **Full-Time - Monday-Friday Days or Evening, FT TRACK ... member of our caring, compassionate health care team the RN Case Manager will enjoy:**...care episode + Ensure optimal communication, appropriate use of clinical resources and management of patient flow across the… more
    Trinity Health (07/18/25)
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  • RN Care Manager

    ConnextCare (Oswego, NY)
    …for upcoming visits through onsite and electronic huddles. 7. Provides feedback to nurse manager regarding team member's patient centered medical home activities ... RN Care Manager , Oswego Oswego, NY...compliance and timely follow-up 2. Responsible for the daily nurse visit schedule that includes billing and charting in… more
    ConnextCare (08/14/25)
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