• Case Manager , Case Management

    Queens Community House (Forest Hills, NY)
    Position Title: Case Manager Program: Older Adult Services - Austin Street Site Status: Full-Time Schedule: Monday - Friday, 9:00 AM - 5:00 PM (35 hours per week) ... justice to our work. We are seeking a Case Manager with a strong commitment to social services and...and a passion for working with older adults. Case Management services play a vital role in assisting older… more
    Queens Community House (11/07/25)
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  • Case Manager , RN (FH)

    Northwell Health (Forest Hills, NY)
    …2. are appropriately arranged for and financially approved.Performs concurrent utilization management .Reviews appropriateness of patient's admission, need for ... intake assessment.Orients patient to the role of the case manager , the goals of care and expected length of...clinical experience as a registered nurse. Prior experience in utilization management and/or discharge planning, preferred. A… more
    Northwell Health (11/07/25)
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  • RN/Case Manager (Inpatient)-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? experience as a ... **Job Description** **RN/Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW**...1. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management more
    Mount Sinai Health System (11/05/25)
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  • Manager - Technical Project…

    American Express (New York, NY)
    …+ Leads Program Increment (PI) planning meetings with senior leadership, product management , and delivery teams to ensure strategic alignment and readiness + Mentors ... of features for future PI planning sessions + Develops risk management plans, conducts regular risk assessments, and implements mitigation strategies to… more
    American Express (10/29/25)
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  • Clinical Pharmacy Specialist, Pharmacy Benefits…

    Northwell Health (New Hyde Park, NY)
    …Pharmacy benefit manager , or health plans + Experience in formulary management , P&T committee support, and/or utilization management (PA, ST, ... for the development, implementation, and maintenance of drug formularies, clinical utilization management (UM) criteria, and evidence-based drug therapy… more
    Northwell Health (11/13/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management ...discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR… more
    Ellis Medicine (10/24/25)
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  • Manager , Product Services…

    Northwell Health (Lake Success, NY)
    …organization. Acts as a liaison with Nursing Institute, Quality and Risk Management and Center for Clinical Excellence. Job Responsibility + Provides leadership to ... Product Services & Management team members and supervisors by communicating and guiding...CIS staff and support teams. + Promotes enterprise standardization, utilization , and leading practices with site clinical leadership and… more
    Northwell Health (11/01/25)
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  • Supply Chain Clinical Category Manager

    Mount Sinai Health System (New York, NY)
    **Job Description** The Supply Chain Clinical Category Manager provides on-going oversight and analysis of clinical products and services. Will review usage ... for assigned categories are being achieved. Conducts on-going reviews of utilization trends including usage off-sets from competitive vendors where product… more
    Mount Sinai Health System (11/07/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... Overview The Appeals Manager is responsible to assist in the analysis...avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with… more
    BronxCare Health System (11/15/25)
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  • Assistant Nurse Manager - Nursing Unit - 2…

    Guthrie (Corning, NY)
    …staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the ... issues, and risk management concerns. + Acts on behalf of Clinical Manager / Director in his/her absence, attending meetings and making decisions as appropriate… more
    Guthrie (11/11/25)
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