• RN Case Mgr I-HC

    Rochester Regional Health (Rochester, NY)
    …20,000 SUMMARY: The RN Case Manager is responsible for the delivery of comprehensive nursing care to a set of assigned patients at a specific point in time. This ... requires similar qualifications as level I, plus: Understands when to escalate to management . Required Qualifications: * Registered Nurse license in New York… more
    Rochester Regional Health (09/17/25)
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  • Care Coordinator RN TRI PC Orchard Park

    Catholic Health (West Seneca, NY)
    …a registered nurse required + One (1) year previous case, disease, or utilization management experience preferred + One (1) year previous experience in a ... illness, improve compliance with evidence based clinical guidelines, encourage patient self- management , increase coordination of care, increase the utilization … more
    Catholic Health (09/04/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may ... of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse (RN) - Full TimeHIV Medicine Clinic - Albany, NY We have an… more
    Albany Medical Center (07/23/25)
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  • Director, Clinical Systems

    Molina Healthcare (Yonkers, NY)
    …including design, development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and ... clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics...experience in a clinical leadership, clinical systems and/or informatics, utilization management , or care management … more
    Molina Healthcare (10/01/25)
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  • RN Lead, Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …years experience in health care, and at least 2 years of managed care experienced in utilization management * Registered Nurse (RN) ONLY if required by state ... supporting one or more of the following functions: care management , utilization management , care transitions,...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
    Molina Healthcare (09/26/25)
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  • Hyperbaric Oxygen Technologist

    Nuvance Health (Poughkeepsie, NY)
    …of care. * Participates in quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director. * Participates in the safety ... operator assists in the provision of safe and therapeutic management of patient care to an assigned group of...problem solving and decision making. Seeks assistance from Clinical Nurse Manager and peers as needed. Assists… more
    Nuvance Health (09/10/25)
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  • Associate Development Editor - Health

    Wolters Kluwer (Albany, NY)
    …applications, in particular MS Excel, Word, PowerPoint, and Outlook + Project management skills (including time/resource utilization , as well as budgeting and ... a big place, find your place here. (https://youtu.be/OZ2kSzAaXK4?si=sDgZ7DZUbMnBddMq)** **Lippincott Nursing Education:** Lippincott Nursing Education | Wolters… more
    Wolters Kluwer (10/02/25)
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  • Clinical Denials and Appeals-Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …Certified Case Manager (CCM) or any other certification approved by management + Certification in a Nationally Recognized Utilization Review Criteria set ... (the payers) and internal stakeholders including, but not limited to, Utilization Review, Case Management , Clinical Documentation Integrity, Health Information… more
    Catholic Health (10/01/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …Physician Advisors during the monthly Physician Advisor meeting. + Attends hospital Utilization Management (UM) committees. + Supervises the Facility Physician ... Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices… more
    Catholic Health Services (09/26/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and coordinating services ... and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical thinking skills to… more
    Glengariff Rehabilitation and Healthcare Center (09/25/25)
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