• Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Level I + Performs pre- service , concurrent and post- service clinical reviews to determine the appropriateness of services requested for the ... + Utilizes appropriate communication techniques with members and providers to obtain clinical information, assesses medical necessity of services , advocating for… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Case Manager - Licensed Clinician…

    Monroe Plan for Medical Care (Oswego, NY)
    …communities through compassionate, person-centered care. Oswego County is currently seeking a Licensed Clinical Case Manager to join their team in the Oswego ... Case Manager - Licensed Clinician - LMSW/LCSW/RN Summary Title:Case...- working hands-on to coordinate care, advocate for essential services , and help restore stability and dignity to those… more
    Monroe Plan for Medical Care (08/08/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate ... a registered nurse. BSN or Case Management Certification preferred. EXPERIENCE: Three years clinical nursing in acute care hospital setting or two years… more
    Arnot Health (08/08/25)
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  • Case Manager -PT/PD

    Ellis Medicine (Schenectady, NY)
    …plan are consistent with the patient's required needs and covered services . Support services provided by the Case Manager include, but are not limited to, ... The RN Case Manager has responsibility for case management of assigned...Clinical or discharge planning needs + Coordinates acute hospital to hospital transfers to ensure compliance… more
    Ellis Medicine (08/28/25)
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  • Case Manager -(OMH) SS Queens Adult Homes

    Comunilife (Long Island City, NY)
    …provide case management services for a caseload of clients. The Case Manager prepares comprehensive assessments and service plans. Home visits and Fieldwork ... Case Manager -(OMH) SS Queens Adult Homes Job Details Job...services + Conduct comprehensive assessments and develop comprehensive service plans that identify mutually agreed upon long and… more
    Comunilife (07/30/25)
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  • RN Manager - Emergency Department, Night…

    Trinity Health (Syracuse, NY)
    …the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards of care and practice. . Performance and staff ... Unit, to Cardiac Arrest and Trauma. **Position Purpose:** The Registered Nurse Manager is accountable for applying positive managerial strategies to promote the… more
    Trinity Health (06/20/25)
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  • Case Manager , RN- Rehab Comprehensive IRF

    Northwell Health (Staten Island, NY)
    …with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. + Confers with physician regarding ... as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. + Works with on-site screeners in… more
    Northwell Health (08/08/25)
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  • CCBHC Targeted Case Manager

    FLACRA (Geneva, NY)
    …mental health, and social determinant needs. This position supports clients by coordinating clinical and non- clinical services and helping them navigate ... accessing services and develop strategies to overcome them. + Utilize Alert Manager to support outreach and engagement services for identified clients. +… more
    FLACRA (08/08/25)
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  • Manager Environmental Safety & Emergency…

    Mohawk Valley Health System (Utica, NY)
    …with MS Office and able to learn new software applications. PREFERRED: + Clinical experience as pre- hospital or hospital clinician encouraged ... Manager Environmental Safety & Emergency Preparedness - Full...collaboratively with staff to implement safety/ regulatory education (eg, Hospital Incident Command System). + Serve as the facility… more
    Mohawk Valley Health System (07/09/25)
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  • Senior Contract Manager Analyst - Mount…

    Mount Sinai Health System (New York, NY)
    …Epic, or other healthcare-specific platforms). Non-Bargaining Unit, E01 - Partner MSO Services - MSH, Mount Sinai Hospital **Responsibilities** . **Contract ... - our goal is to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount… more
    Mount Sinai Health System (08/01/25)
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