• Transitional Care RN - Case

    Mohawk Valley Health System (Utica, NY)
    Transitional Care RN - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary The RN - Transitional Care Coordinator is responsible ... experience. + 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management more
    Mohawk Valley Health System (07/09/25)
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  • Registered Nurse (RN) - Utilization…

    Rochester Regional Health (Rochester, NY)
    …as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial ... Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester...REQUIRED QUALIFICATIONS: + 3 years of acute hospital care, Case Management and/or Utilization Management more
    Rochester Regional Health (08/02/25)
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  • New York RN Case Manager

    Public Consulting Group (Albany, NY)
    …+ Ability to work independently and on a team. + Proven working experience in case management , including as a nurse , medical, mental health care manager ... relations and cooperate with medical team throughout the entire case management process + Interacts with patients...+ Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
    Public Consulting Group (07/30/25)
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  • Case Manager, RN (Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... health member clinical management programs. + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case more
    Excellus BlueCross BlueShield (06/18/25)
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  • RN - Case Manager - Days - 12.5 Hour Shifts

    Mohawk Valley Health System (Utica, NY)
    RN - Case Manager - Days - 12.5 Hour Shifts Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case Management ... and cost effectiveness through the integrating and functions of case management . Core Job Responsibilities + Coordinates...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
    Mohawk Valley Health System (07/19/25)
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  • Professional, Case Manager

    MVP Health Care (Schenectady, NY)
    …York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse is required. + Case Management Certification preferred (ANCC ... or CCM). + At least 3 years of recent clinical and Case Management experience. + Certification in Case Management required within 24 months after hire. +… more
    MVP Health Care (08/02/25)
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  • NORC Case Manager (West)

    Goddard Riverside (New York, NY)
    …Duties Role, Responsibilities, and Essential Duties Client Services: + Provide Individualized case management services to NORC members, ensuring that the needs ... by Director Qualifications/Educational Requirements: + Minimum of Bachelor's degree with case management experience with older adults + Experience working… more
    Goddard Riverside (07/26/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with ... Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
    Ellis Medicine (06/12/25)
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  • RN/ Case Manager-Inpatient-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …Rotation)** The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve… more
    Mount Sinai Health System (07/08/25)
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  • Case Manager, Medicaid Long Term Support…

    MVP Health Care (Rochester, NY)
    …Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after hire. + At least 3 years ... of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must demonstrate… more
    MVP Health Care (08/02/25)
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