• Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    … system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the ... clinical criteria guidelines. The UAM serves as interdepartmental liaison identifying denial reasons and opportunities for improvement from both internal… more
    Catholic Health Services (07/24/25)
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  • Case Manager, RN- Case Management

    Northwell Health (Staten Island, NY)
    …with the health care team. + Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement ... as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. + Collaborates with and provides feedback to… more
    Northwell Health (10/10/25)
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  • Care Coordinator Registered Nurse- Behavioral…

    Rochester Regional Health (Rochester, NY)
    Job Title: Care Coordinator- Registered NurseDepartment: Behavioral Health Location: Massena, NY Hours Per Week: Per DiemSchedule: 8-hour shifts with floating ... care that is patient and family centered that address. Acts as a liaison between patients and the healthcare system. Ensures that patients receive the care… more
    Rochester Regional Health (10/10/25)
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  • Behavioral Health Counselor

    Anthony Jordan Health Corp (Rochester, NY)
    …for providing MH assessments, offer family and collateral assistance, crisis intervention, liaison with medical providers, regarding Behavioral Health issues and ... Counselorwill ensure to: . Provide comprehensive diagnostic evaluations of mental health disorders based on DSM clinical criteria. Additionally, provide risk… more
    Anthony Jordan Health Corp (09/12/25)
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  • Community Health Worker

    BronxCare Health System (Bronx, NY)
    …such as first aid, and blood pressure screening. Community outreach, such as home visits and health screening will be required. Responsibilities - Establish ... Overview The Community Health Worker (CHW) will be responsible for helping...into programs. - Follow-up with patients via phone calls, home visits and visits to other settings where patients… more
    BronxCare Health System (10/09/25)
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  • Fee For Service Nurse (Per Diem)

    New York Health Care (Spring Valley, NY)
    …conducting home visits, assessing and managing the care of clients, providing clinical supervision for home health aides (HHAs), and collaborating with ... safe and comfortable in their homes. Our team of home health aides plays a crucial role...Conduct ongoing client reassessments every six months or as clinical judgment dictates, addressing any emerging health more
    New York Health Care (10/03/25)
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  • Mental Health Assistant

    University of Rochester (Rochester, NY)
    …supporting adherence to discharge plan, up to 1 week. Working closely with health home care management agencies, may facilitate new referrals, reinforce existing ... equity considerations._ **Responsibilities:** GENERAL PURPOSE In collaboration with the Clinical team, facilitates the planning and delivery of appropriate...connections to health home services with any care management… more
    University of Rochester (08/07/25)
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  • Medical Director - Spine

    CVS Health (New York, NY)
    …through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health ...care resources. **This is a remote based (work at home ) based anywhere in the US.** Aetna, a CVS… more
    CVS Health (08/08/25)
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  • RN/Case Manager-MSH-Case Management-PT-Days

    Mount Sinai Health System (New York, NY)
    …length of stay (ELOS). The CM works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of the ... team as needed. The CM actively participates in specific clinical initiatives focused on reducing the length of stay...Community Patient Review Instrument (PRI) for patients requiring Residential Health Care Facility placement. d. Liaison with… more
    Mount Sinai Health System (09/23/25)
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  • Research Nurse

    Catholic Health Services (West Islip, NY)
    Overview Good Samaritan University Hospital is a 537- bed (including 100 nursing home beds) teaching hospital and a member of Catholic Health . With almost 900 ... Good Samaritan Nurse. You are at the heart of health . Job Details Research Nurse Specialist- Cancer Services Job...Services Job Duties: + Coordinates the day-to-day management of clinical trial, ensuring that the study is conducted in… more
    Catholic Health Services (10/03/25)
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