• RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b. Documents… more
    Guthrie (08/27/25)
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  • Project Manager , Utilization - MWBE

    New York State Civil Service (New York, NY)
    NY HELP No Agency Empire State Development, NYS Title Project Manager , Utilization - MWBE Occupational Category Other Professional Careers Salary Grade NS ... the direct supervision of the Director of Contract Participation, the Project Manager , Utilization , will lead the planning, execution, and monitoring of… more
    New York State Civil Service (09/04/25)
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  • Utilization Case Manager - Inpatient…

    Helio Health Inc. (Syracuse, NY)
    …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... Educate program staff on current principles and standards of practice surrounding utilization and denials management . + Use effective relationship management more
    Helio Health Inc. (10/30/25)
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  • Manager , Inpatient Pharmacist - Pharmacy…

    University of Rochester (Rochester, NY)
    …and Regulations. The Pharmacy Medication Utilization and Inventory Compliance Manager has direct supervision and management responsibilities for the pharmacy ... Using clinical judgment and available resources, develops and oversees medication management procedures and strategies to ensure safe and compliant receiving,… more
    University of Rochester (11/12/25)
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  • Utilization Management

    Elevance Health (Latham, NY)
    ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (11/15/25)
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  • Case Manager - AOMC

    Arnot Health (Elmira, NY)
    …of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager 's average ... the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working knowledge of the...care rounds and participates in them. . The Case Manager tracks and trends LOS , resource utilization more
    Arnot Health (11/06/25)
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  • RN/Case Manager -MSH-Case Management

    Mount Sinai Health System (New York, NY)
    **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... Previous experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management more
    Mount Sinai Health System (10/29/25)
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  • Case Manager , RN- Case Management

    Northwell Health (Staten Island, NY)
    …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... management and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred. + Keeps… more
    Northwell Health (11/07/25)
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  • Senior Manager , Crisis Management

    NBC Universal (New York, NY)
    …resilience is critical to enabling our core business objectives. The Sr. Manager , Crisis Management /Business Continuity role requires an experienced practitioner ... place domestically and responsible for delivering an incident and business continuity management program across the company. Position: Senior Manager , Crisis … more
    NBC Universal (11/05/25)
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  • Nurse Case Manager : Full Time, DAYS

    Albany Medical Center (Albany, NY)
    … works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
    Albany Medical Center (11/03/25)
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