• Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, to ... and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical knowledge,… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Maat Clinic RN

    Anthony Jordan Health Corp (Rochester, NY)
    MAAT CLINIC RN ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * MAAT Clinic Apply Job Type Full-time Description The health ... Clinic RNwill assist MAAT Practice Manager with administration and management of the MAAT clinic. If you want to...Medicine experience preferred Licenses And Certifications: . Current NYS RN License without any negative actions . Current provider… more
    Anthony Jordan Health Corp (08/14/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (NY)
    …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... Educates and supports member focusing on seven primary areas (ToC Pillars): medication management , use of personal health record, follow up care, signs and symptoms… more
    Molina Healthcare (08/13/25)
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  • RN - Clinical Manager

    HCR Home Care (East Syracuse, NY)
    …Maintain resilience + Other duties as assigned . This job description reflects management 's assignment of essential functions; and nothing in this herein restricts ... management 's right to assign or reassign duties and responsibilities...in nursing required . Qualifications and Requirements + Unencumbered RN license issued by NYS Department of Education required… more
    HCR Home Care (08/23/25)
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  • RN Clinical Manager of Integrated Care

    FlexStaff (Brooklyn, NY)
    **Req Number** 166260 Experienced RN Clinical Manager of Integrated Care. 10K Sign on Bonus Are you a passionate healthcare professional ready to lead the charge in ... plans. Ensure participants understand their care instructions and medication management . - **Assess & Coordinate:** Conduct in-home assessments, monitor health… more
    FlexStaff (08/24/25)
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  • Nurse - RN

    Phoenix House (Long Island City, NY)
    ** Nurse - RN ** **Job Details** **Job Location** Long Island City Residential - Long Island City, NY **Position Type** Per Diem **Education Level** Bachelors ... Hourly ** Travel Percentage** None **Job Shift** Morning **Job Category** Nurse **Description** **SUMMARY** Under the supervision of the Medical Director and/or… more
    Phoenix House (07/22/25)
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  • Nurse - RN

    Phoenix House (Wainscott, NY)
    ** Nurse - RN ** **Job Details** **Job Location** East Hampton Residential - Wainscott, NY **Position Type** Per Diem **Education Level** Bachelors Degree **Salary ... Range** $41.15 - $61.73 Hourly ** Travel Percentage** Road Warrior **Job Shift**... Percentage** Road Warrior **Job Shift** Floater **Job Category** Nurse **Description** **SUMMARY** Under the supervision of the Medical… more
    Phoenix House (07/05/25)
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  • Hybrid Assessment RN , Brooklyn, NY…

    Healthfirst (NY)
    …long-term care plan Additional duties as assigned **Minimum Qualifications:** New York State RN license Ability to travel around downstate New York which ... Plan and/or to assist with nursing home admission Conducts in-person Care Management visits in support of person-centered service planning Liaisons between the… more
    Healthfirst (06/12/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Rochester, NY)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or hospitals as requested,...ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **Preferred… more
    Molina Healthcare (08/20/25)
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  • Director, Home Health ( RN ) - Home Care…

    Guthrie (Vestal, NY)
    …Education, License & Cert: Bachelors' Degree required, Masters' Degree desirable. RN required. Experience: One year of supervisory experience or experience in ... process of continuous quality improvement. 5. Demonstrates effective time management . 6. Performs annual performance reviews. 7. Functions under...1. Reports to .Sr Dir of Homecare services. 2. Travel may be required for this position. Pay range… more
    Guthrie (08/12/25)
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