• 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 ... Documents in a through, concise & timely manner as deemed appropriate by the case manager . 3. Identifies individual patient discharge needs in collaboration with… more
    Guthrie (06/24/25)
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  • Insurance Specialist-Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical more
    Mount Sinai Health System (07/23/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
    Ellis Medicine (07/25/25)
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  • Nurse Case Manager

    Brighton Health Plan Solutions, LLC (New York, NY)
    …(BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager reports to the ... program. Primary Responsibilities * Adheres to regulatory regulations (eg, ERISA, HIPAA) for Case Management and self-insured clients. * Uses clinical tools for… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Registered Nurse, Case Manager

    CVS Health (Albany, NY)
    …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
    CVS Health (08/13/25)
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  • Case Manager Registered Nurse…

    CVS Health (Albany, NY)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
    CVS Health (08/10/25)
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  • Hospital Case Manager - Registered…

    MVP Health Care (Rochester, NY)
    …4 years of recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2 years of employment. + Previous ... improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you...role. + Ability to work cross functionally and influence clinical stakeholders to best support the patient's needs. +… more
    MVP Health Care (05/20/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Tarrytown, NY)
    …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If ... after hire. + At least 3 years of recent clinical and Case Management experience. Experience working...medically complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
    MVP Health Care (08/13/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    RN Case Manager **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of our team, who provides ... clinical services to our patient population. Qualified candidates will...high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department… more
    Stony Brook University (07/16/25)
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  • Case Manager (RN)

    WMCHealth (Suffern, NY)
    Case Manager (RN) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Care Management Union: YES Union ... Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Case Manager (RN) is responsible for implementing and supervising the… more
    WMCHealth (07/16/25)
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