• RN Care Manager Remote with field travel…

    Molina Healthcare (NY)
    …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
    Molina Healthcare (08/08/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Ridgewood, NY)
    …+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and ... utilization review, quality assurance, or discharge planning (preferably within a managed care , home care , or community health organization). + Proficiency… more
    CenterLight Health System (07/25/25)
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  • Clinical Manager - Integrated Care Perm…

    FlexStaff (New York, NY)
    …Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. Experience in working independently without significant oversight and ... utilization review, quality assurance, or discharge planning (preferably within a managed care , home care , or community health organization). Proficiency in… more
    FlexStaff (07/18/25)
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  • Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to ... leadership role is required. Experience in utilization management, working with managed care organizations, and discharge planning is required. Current… more
    Catholic Health Services (07/18/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …with at risk populations in home care , case management, discharge planning or managed care . + Minimum of one (1) year experience working with a frail ... and/or members with chronic illness or behavioral health issues. + Previous Managed Care experience, within a MLTC or working with special needs populations… more
    Elderwood (08/16/25)
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  • UM Care Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …+ Strong multi-tasking abilities Preferred: + Experience working within a managed care environment Specific Technical Skills Preferred: Computer proficiency ... a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests… more
    Centers Plan for Healthy Living (07/15/25)
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  • Health Homes Plus - Care Coordinator

    Trinity Health (Troy, NY)
    …skills are required, as well as knowledge of working with community agencies and managed care representatives. + Experience working with a diverse population and ... time **Shift:** Day Shift **Description:** Health Home Plus - Care Coordinator Troy, NY We are looking for an...for an energetic individual to join our Health Home Care Management Team! The ideal candidate will be someone… more
    Trinity Health (08/28/25)
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  • Supervisor, Care Management

    Molina Healthcare (Rochester, NY)
    …**Required Experience** 3 or more years in case management, disease management, managed care or medical or behavioral health settings. **Required License, ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
    Molina Healthcare (08/27/25)
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  • RN Acute Case Manager - System Care

    Guthrie (Binghamton, NY)
    …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... the healthcare team in assessing, planning, and facilitating individualized continuum of care plan for patients, based on assessed needs and available resources. The… more
    Guthrie (08/27/25)
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  • Transitions of Care Pharmacist

    Catholic Health Services (Roslyn, NY)
    …Participate in multidisciplinary rounds and/or collaborate with unit staff, including nursing, managed care coordinators, medical staff and pharmacy staff to ... performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet… more
    Catholic Health Services (08/27/25)
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