• Care Delivery Manager

    CenterLight Health System (NY)
    …diagnostic & treatment clinic preferred. + Customer Service experience is required. + Managed long-term care insurance experience beneficial. + Minimum of one ... nursing standards of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the management team, working… more
    CenterLight Health System (08/14/25)
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  • Ambulatory Care Manager

    Rochester Regional Health (Rochester, NY)
    …and huddles as appropriate; * Conduct pre-visit planning and post-visit follow-up for care managed patients; * Provide feedback to providers regarding patient ... Job Title: Ambulatory Care Manager Location: Riedman Campus (supporting practices of...Monday-Friday 8am-4:30pm SUMMARY: The central role of the RN Care Manager is a commitment to improve clinical outcomes… more
    Rochester Regional Health (08/14/25)
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  • Care Delivery Manager

    CenterLight Health System (Ridgewood, NY)
    …diagnostic & treatment clinic preferred. + Customer Service experience is required. + Managed long-term care insurance experience beneficial. + Minimum of 1-year ... nursing standards of excellence with advanced professional education to deliver high-quality care . Serve the organization as a member of the management team, working… more
    CenterLight Health System (08/08/25)
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  • RN - Care Delivery Manager - Contract

    FlexStaff (Flushing, NY)
    …diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one ... nursing standards of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the management team, working… more
    FlexStaff (07/29/25)
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  • RN Care Manager - Occasional - Days

    Mohawk Valley Health System (Utica, NY)
    …seeking and obtaining sufficient information/education necessary to function effectively in the managed long term care setting. + Participates in departmental ... RN Care Manager - Occasional - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Manager is responsible for completing a comprehensive… more
    Mohawk Valley Health System (07/09/25)
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  • Care Navigator - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …related issues. Communicates with members and their families regarding information about Managed Long Term Care (MLTC) services. Provides summary reports, ... Care Navigator - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Managment Navigator provides support to the Care Managers and… more
    Mohawk Valley Health System (07/09/25)
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  • Care Delivery Manager Perm / Ridgewood,…

    FlexStaff (New York, NY)
    …diagnostic & treatment clinic preferred. Customer Service experience is required. Managed long-term care insurance experience beneficial. Minimum of one ... **Req Number** 155467 FlexStaff is looking for a Care Delivery Manager. JOB PURPOSE: Responsible for supporting...of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the… more
    FlexStaff (07/08/25)
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  • Regulatory Analyst

    Healthfirst (NY)
    …an accredited institution + Analytical experience in a healthcare environment (such as managed care organization, commercial health insurance plan or managed ... Knowledge of Medicare Communications and Marketing Guidelines, New York State Managed Long-Term Care regulations and NYSDOH guidelines as it relates to member… more
    Healthfirst (08/21/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Yonkers, NY)
    …integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in Medicaid and/or… more
    Molina Healthcare (08/20/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of relevant… more
    Molina Healthcare (08/14/25)
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