• 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 (10/21/25)
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  • VP Care Management Post-Acute Care…

    Kaleida Health (Buffalo, NY)
    …In addition to daily oversight of operations, the VP will partner with Utilization Review , Revenue Cycle, and Clinical leadership to create patient/family ... Business field preferred. RN licensure required.** **Experience** **10 years of care management / utilization management experience required in hospital and/or… more
    Kaleida Health (09/17/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …services provided by the Case Manager include, but are not limited to, utilization review , case management , care transition, collaboration with physicians ... experience in a hospital environment preferred. + Previous case management , utilization review , and discharge...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
    Ellis Medicine (09/11/25)
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  • Supervisor - Clinical

    Independent Health (Buffalo, NY)
    …day-to-day management of the RN staff of their assigned area (Case Management , Utilization Review and Population Health). This will include monitoring ... process; maintain a current and accurate database. + Provide high quality, professional utilization management services: (medical necessity review for Prior… more
    Independent Health (10/19/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal...FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective… more
    Arnot Health (08/08/25)
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  • Clinical Program Manager, Clinical Command Center…

    Mount Sinai Health System (New York, NY)
    …infectious precautions patient populations, constant observation and patient restraints review , risk management activities identifying and communicating issues ... The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse , Physician Assistant, or Nurse Practitioner, who manages the 24… more
    Mount Sinai Health System (10/23/25)
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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 ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
    CenterWell (09/30/25)
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  • Medical Data Entry Manager

    Constructive Partnerships Unlimited (Brooklyn, NY)
    …and Nurse Administrators, works collaboratively and assists in the management of medical care for all individuals served and maintaining appropriate ... various source documents into the computer system for storage, processing and data management purposes. Shift Worked: 9:00 AM-5:00 PM Weekly Hours: 37.5 FLSA Status:… more
    Constructive Partnerships Unlimited (09/22/25)
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  • Logistics RN Bed Management

    Bassett Healthcare (Cooperstown, NY)
    …(patient requiring a bariatric bed, special equipment, interpreter svc, etc.). + Review previous patient history and updates CL with key patient attributes ... with medical staff regarding patient status, bed placement, payer requirements, and utilization of resources. + Manages Logistic Center staffing process for assigned… more
    Bassett Healthcare (10/21/25)
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  • Treatment Team Leader Developmental Disabilities…

    New York State Civil Service (NY)
    …2, Teacher 4 (and all parenthetics), Training Specialist 1 (Nursing), and Utilization Review Coordinator. Additional Comments * Please note that starting ... allowed? No Telecommuting allowed? No County To Be Determined Street Address Quality Management Dept. City XXX State NY Zip Code 00000 Duties Description The… more
    New York State Civil Service (10/18/25)
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