• Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …necessity reviews and peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages ... rounds. + Provision of clinical oversight and leadership to Utilization Management / Case Management (UM/CM) staff working with the children's population. +… more
    Excellus BlueCross BlueShield (08/09/25)
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  • Insurance Specialist - Samaritan Hospital - PD…

    Trinity Health (Troy, NY)
    …or have completed a college level course in medical terminology. + One year of case management or utilization review/billing or coding experience. + One year of ... in coding/medical records/billing or healthcare related field + One year of case management or utilization review, billing, or coding experience Please… more
    Trinity Health (07/26/25)
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  • RN - Orthopedic Navigator Coordinator

    UPMC (Jamestown, NY)
    …team to serve our Total Joint Replacement orthopedic population, providing high quality nursing care, telephonic case management , and care coordination ... **UPMC Chautauqua is seeking a highly motivated Registered Nurse to join their team as an Orthopedic...nursing experience in a hospital setting + Telephonic case management experience highly preferred. Experience with… more
    UPMC (08/09/25)
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  • Nurse (RN) Case Manager- OPWDD

    OLV Human Services (Amherst, NY)
    …with developmental disabilities? Join our team at OLV Human Services as an RN Case Manager and play a critical role in supporting the health and well-being of ... through Friday FULL JOB DESCRIPTION Responsible to: Director of Nursing Job Summary: The Clinical RN- OPWDD acts as...Job Summary: The Clinical RN- OPWDD acts as a case manager and is an integral part of the… more
    OLV Human Services (07/09/25)
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  • Insurance Specialist-Mount Sinai West-PT 4/Days…

    Mount Sinai Health System (New York, NY)
    …Vary) 8a-1p with Every Weekend** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring it ... forms of compensation or benefits. Non-Bargaining Unit, BGG - Case Management - STL, Mount Sinai St....Implements first step of appeals process to assist Appeals Nurse and Enter Denial information in Allscripts + Meets… more
    Mount Sinai Health System (08/12/25)
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  • Health Home Care Coordinator - Children

    Whitney Young Health Center (Albany, NY)
    …human services or related field with a minimum of two (2) year's work experience in case management or case work with one of the following populations: ... WYH. . Effectively documents patient information in the electronic case records and billing system set forth by WYH...QUALIFICATIONS: Bachelor's degree in Psychology, Sociology, Social Work, or Nursing with at least one 1(one) year of related… more
    Whitney Young Health Center (07/15/25)
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  • Coordinator, Substance Use Disorder (SUD)

    Glens Falls Hospital (Glens Falls, NY)
    …employees who work at least 30 hours per week, can be found*here*. **Job:** ** Nursing - Case Management * **Title:** *Coordinator, Substance Use Disorder ... is $30.54 to $45.81 per hour. Exact rate is determined on a case -by- case basis commensurate with experience level, as well as education and certifications… more
    Glens Falls Hospital (06/04/25)
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  • Field Medical Doctor, Bureau of School Health

    City of New York (New York, NY)
    …York City. This is achieved through a combination of public health initiatives, case management , education, and direct clinical services. School Physicians have ... Health - Improve the health of school children through case management of chronic disease, preventive health...records - Serve as a consultant to the school nurse and administration on school related health concerns -… more
    City of New York (08/13/25)
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  • Director, Care Coordination

    Northwell Health (Mount Kisco, NY)
    …Description Directs, plans, implements and evaluates all activities of the inpatient RN Case Management and Social Work Services team. Develops processes to ... discharge back to the community. Job Responsibility 1.Leads RN case management and social work services team...are not essential functions. Job Qualification *Master's Degree in Nursing or related field required, or equivalent combination of… more
    Northwell Health (08/21/25)
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  • Social Work Supervisor - WTC Program

    Mount Sinai Health System (New York, NY)
    …with social workers or social work interns in an outpatient psychiatry or case management role is strongly _preferred._ + Bilingual (English/Spanish or ... The Supervisor will also share oversight of social work case management , monitoring and treatment services. +...outpatient practices, more than 300 labs, a school of nursing , and a leading school of medicine and graduate… more
    Mount Sinai Health System (06/24/25)
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