• Nurse Practitioner, Behavioral Health UM (PMHNP)

    Molina Healthcare (Buffalo, NY)
    …and cost-effective member care. **Job Duties** + Performs Behavioral Health utilization management reviews for inpatient, outpatient, and intermediate-level ... Nurse and/or Nurse Practitioner, ideally in managed care, behavioral health, or utilization management . + Demonstrated experience in the application of medical… more
    Molina Healthcare (11/08/25)
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  • Nurse Navigator - Joint Replacement Center

    Rochester Regional Health (Rochester, NY)
    …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... to patient needs and consistent with strategic plan + Makes referrals to administrative director , medical director , quality management , risk management ,… more
    Rochester Regional Health (11/07/25)
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  • RN/Case Manager (Inpatient)-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …are not limited to: 1. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine...length of stay (LOS), improved efficiency, quality and resource utilization . Assignment will be by units/clinical areas of practice… more
    Mount Sinai Health System (11/05/25)
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  • Medical Policy Coordinator

    Excellus BlueCross BlueShield (Rochester, NY)
    …in conjunction with Medical Policy leadership and applicable Medical Director (s). Essential Accountabilities: + Develops and maintains corporate medical policies ... assigned policies ensuring all annual reviews are completed in compliance with National Committee on Quality Assurance (NCQA) timeframes and in accordance with… more
    Excellus BlueCross BlueShield (11/07/25)
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  • Respiratory Specalist

    Bassett Healthcare (Cooperstown, NY)
    …as a resource for the Respiratory Care Department in absence of supervisor, manager and director + Assists in full utilization of staff working time, based on ... possible. What you'll do Under general supervision by the Supervisor, Manager, and Director of Respiratory Care Services and working closely with the Medical … more
    Bassett Healthcare (10/31/25)
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  • Orthodontist

    Touro University (Hawthorne, NY)
    …individuals with disabilities, and veterans. Responsibilities Directly reporting to the Director of Orthodontics, Touro College of Dental Medicines, Director ... planning, and progress. + Model and advise students on professionalism and patient management techniques. + Assist in solving patient-related problems + Assist the … more
    Touro University (08/26/25)
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  • Nurse Case Manager - FT Days

    Nuvance Health (Poughkeepsie, NY)
    …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... Nursing, BSN preferred. Must have current RN license. *Preferred Experience: * Utilization Review/ Management .Company: Vassar Brothers Medical Center Org Unit:… more
    Nuvance Health (09/28/25)
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  • Nurse-PT

    Outreach Development Corporation (Brentwood, NY)
    …documentation and reports in a timely manner. + Communicate with program management ( Director , Clinical Coordinator, and/or House Manager and advisor) all ... need for physical exam or other health services. + When requested by the medical director the RN maybe be present during physical exams + Follow up both internally… more
    Outreach Development Corporation (10/24/25)
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  • Patient Care Coordinator

    Touro University (Hawthorne, NY)
    …+ Support to the Group Practice Team with their patient care management . + Perform patient check-in duties including updating patient demographics, updating patient ... + Meet at least weekly with CPL or discipline Director to review student compliance. + Manage clinic activity...among them. + Increase student productivity by maximizing space utilization . + Manage the population of patients assigned to… more
    Touro University (10/24/25)
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  • Public Health Program Nurse (NY Helps)

    New York State Civil Service (Albany, NY)
    …Infant Health Unit Manager (Health Program Administrator 2), the Associate Director for Community-Based Perinatal Health, and other leadership, to support ... Detection and Intervention (EHDI) Program. The candidate will provide program management and clinical oversight of public health program planning, community… more
    New York State Civil Service (11/08/25)
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