• 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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  • Case Manager RN

    Bassett Healthcare (Cooperstown, NY)
    …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... efficient delivery of care in appropriate setting. + Completes utilization management and quality screening for assigned...both areas. + Refers cases and issues to Case Review , Utilization Committee, Medical Director, and Director… more
    Bassett Healthcare (11/07/25)
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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 ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management ...experience in a hospital environment preferred. + Previous case management , utilization review , and discharge… more
    Ellis Medicine (10/24/25)
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  • RN/Case Manager (Inpatient)-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... **Job Description** **RN/Case Manager (Inpatient) Mount Sinai Morningside FT Days EOW**...new admissions to identify patients where utilization review , discharge planning, and/or case management will… more
    Mount Sinai Health System (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 ... assigned service - required + Recent experience in case management , utilization management and/or discharge...Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered… more
    Albany Medical Center (11/03/25)
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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 ... (5) years clinical experience as a registered nurse. Prior experience in utilization management and/or discharge planning, preferred. A strong clinical… more
    Northwell Health (11/07/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... at our Westbury, NY branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
    CenterWell (09/30/25)
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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 ... when prevented from completing job tasks. -Assists the Administrative Manager and Director with annual review and...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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  • 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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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    … Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… more
    Stony Brook University (10/23/25)
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