• RN Medical Claim Review Nurse

    Molina Healthcare (Syracuse, NY)
    …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in… more
    Molina Healthcare (05/21/25)
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  • Ambulatory Care Manager

    Rochester Regional Health (Rochester, NY)
    Job Title: Ambulatory Care Manager Location: Riedman Campus (supporting practices of the ambulatory clinical network) Hours Per Week: 40 Schedule: Monday-Friday ... 8am-4:30pm SUMMARY: The central role of the RN Care Manager is a commitment to improve clinical outcomes in...at potential risk for adverse healthcare outcomes. The Registered Nurse works in collaboration with primary care providers and… more
    Rochester Regional Health (05/15/25)
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  • Clinical Program Manager , Clinical Command…

    Mount Sinai Health System (New York, NY)
    …The Clinical Program Manager , Clinical Command Center is a Registered Professional Nurse , Physician Assistant, or Nurse Practitioner, who manages the 24 hour ... throughput, transfer center, quality, and delivery of care. The Clinical Program Manager , Clinical Command Center participates in the coordination of global clinical… more
    Mount Sinai Health System (05/07/25)
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  • Professional, Hospital Case Manager

    MVP Health Care (Schenectady, NY)
    …with the member, their care giver (as appropriate) and their specific providers during the inpatient hospital stay. + The Care Manager will work to identify any ... + Current New York State Licensure as a Registered Nurse required with at least 4 years of recent...when a significant concern is identified. + The Care Manager will support members throughout inpatient hospital… more
    MVP Health Care (05/20/25)
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  • Manager Nursing Unit *2N

    Kaleida Health (Williamsville, NY)
    …as well as to assess needs, plan, implement and evaluate patients' nursing care.The Nurse Manager is responsible for one or more departments and has ... and counseling staff and for approving payroll and time records. The Nurse Manager is also responsible for the quality improvement outcomes and activities of… more
    Kaleida Health (05/22/25)
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  • Health Homes Plus Manager

    FLACRA (Ontario County, NY)
    Health Homes Plus Manager Finger Lakes Addiction Counseling and Referral Agency Inc Ontario County, NY (Onsite) Full-Time $19.75 - $21.50/Hour Apply Now ... (https://flacra.jobs.net/apply/j3p1xc6vqrkvxcxwhph?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title:Health Home Plus Care Manager Location:Finger Lakes Region, NY Employment Type:Full-Time Job Summary:… more
    FLACRA (05/08/25)
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  • GA Family Services - Health Home Care…

    Lutheran (West Seneca, NY)
    …physician/ nurse practitioner, specialist(s), behavioral health care provider(s), care manager and other providers directly involved in the individual's care. + ... team are aware of admission and/or discharge to/from an emergency room, inpatient , or residential/rehabilitation setting + Care Manager will consult with… more
    Lutheran (04/04/25)
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  • Manager of Case Management, RN - In-Patient…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This includes, but is ... employee performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case Managers, Social Workers and… more
    Mount Sinai Health System (05/24/25)
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  • RN Care Manager

    Evergreen Health (Buffalo, NY)
    …culturally competent care to everyone in our community . The RN Care Manager supports implementation of the patient's integrated care plan and works towards ... resolution of patient needs/barriers. The RN Care Manager facilitates communication between patients, their families, caregivers, providers, and other members of the… more
    Evergreen Health (05/09/25)
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  • Health Home Care Manager

    University of Rochester (Rochester, NY)
    …Education (10%)** + Work with provider clinical teams as appropriate (eg physician, nurse care manager ) to provide disease specific education and information ... a highly motivated professional for the Health Home Care Manager role with the goal of delivering high quality...to health home services in the community. Coordinate with inpatient nursing staff, physicians, social work, patients, caregivers, Lead… more
    University of Rochester (04/07/25)
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