• Utilization Management Nurse

    CenterWell (Albany, NY)
    …three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + ... their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health … more
    CenterWell (08/02/25)
    - Related Jobs
  • Nurse Manager , RN

    Mount Sinai Health System (New York, NY)
    **Job Description** The Nurse Manager is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is ... education, medical records, internal and external regulatory and survey requirements. The Nurse Manager I collaborates with multiple professionals to support and… more
    Mount Sinai Health System (08/02/25)
    - Related Jobs
  • Clinical Manager , RN - Wantagh…

    Mount Sinai Health System (Wantagh, NY)
    …clinical experience with three years supervisory experience including one year in health care management + Registered Nurse or related health science ... **Job Description** The Offsite Clinical Manager is responsible for administering, directing, planning and...to ensure high quality, cost effective and accessible patient care services. **Qualifications** + Bachelors degree in nursing or… more
    Mount Sinai Health System (07/03/25)
    - Related Jobs
  • RN Supervisor Case Management - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice,...and currently registered to practice as a Registered Nurse in New York State. Disclaimer… more
    Mohawk Valley Health System (07/09/25)
    - Related Jobs
  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …States of America) Salary Range: $60,028.00 - $99,023.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or ...and/or Nurse Supervisor ( RN ), the RN may provide direct patient care , patient… more
    Albany Medical Center (07/23/25)
    - Related Jobs
  • RN Case Mgr I-HC

    Rochester Regional Health (Rochester, NY)
    …II - requires similar qualifications as level I, plus: A minimum of 2 years of home care experience. + Registered Nurse license in New York State. + Valid ... Monroe County Sign-On Bonus: Up to 20,000 SUMMARY: The RN Case Manager is responsible for the...Understands when to escalate to management. Required Qualifications: * Registered Nurse license in New York State.… more
    Rochester Regional Health (06/18/25)
    - Related Jobs
  • RN - Pediatric Endocrinology Office

    Albany Medical Center (Albany, NY)
    …Work Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Full Time Pediatric Endocrine Department ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or ...and/or Nurse Supervisor ( RN ), the RN may provide direct patient care , patient… more
    Albany Medical Center (06/13/25)
    - Related Jobs
  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    RN Case Manager **Position Summary** At...standard of excellence. **Duties of a TH Staff Associate/Case Manager in the Care Management Department may ... Stony Brook Medicine, a **TH Staff Associate/Case Manager ** is a valuable member of our team, who...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse more
    Stony Brook University (07/16/25)
    - Related Jobs
  • RN Case Manager PC/FM

    Highland Hospital (Rochester, NY)
    …multiple office locations! Under general direction of the Clinical Manager , the RN Care Manager 's central role integrates and coordinates access and ... utilization management, proactive patient management, care facilitation and treatment planning functions. The ... care facilitation and treatment planning functions. The RN Care Manager manages clinical… more
    Highland Hospital (07/25/25)
    - Related Jobs
  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (08/02/25)
    - Related Jobs