• Director Pre Appeals Management -HSO…

    Mount Sinai Health System (New York, NY)
    …outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and benefits for ... in the state of employment required + Certification in Case Management (CCM, ACM) or Utilization ... preferred. + 7+ years of experience in clinical acute clinical, utilization management , appeals management more
    Mount Sinai Health System (11/01/25)
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  • Senior Clinical Doc Specialist

    Kaleida Health (Buffalo, NY)
    Management , acute care, medical/surgical or ICU/ED as a licensed Registered Nurse required. 5 years of experience in Clinical Documentation Specialist ... that require leadership abilities.** **Education And Credentials** Bachelors degree required. Registered Nurse required. Cert. Clinical Doc Specialist (CCS)… more
    Kaleida Health (10/15/25)
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  • Clinical Nurse Manager (O-6 Billet)…

    Immigration and Customs Enforcement (Batavia, NY)
    …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... Summary The Clinical Nurse Manager oversees nursing services at ICE facilities,...and assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care, compliance with clinical… more
    Immigration and Customs Enforcement (01/03/26)
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  • Clinical Documentation Specialist

    Kaleida Health (Buffalo, NY)
    Management , acute care, medical/surgical or ICU/ED as a licensed Registered Nurse required. 1 year of experience in Clinical Documentation Specialist ... of Arts in Nursing or similar or Bachelors in Health care Administration required. Registered Nurse required. CDS must obtain CCDS credential within 12 months of… more
    Kaleida Health (11/07/25)
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  • Bloodless Med Clinical Coordinator - Part Time

    Nuvance Health (Carmel, NY)
    …* Strong presentation skills. License, Registration, or Certification Requirements: * Current NYS Registered Nurse ( RN ) License * Basic Life Support (BLS) ... with patients, family members, providers, inpatient staff, nursing leadership, case management and physical therapy to educate...Three (3) years of progressive nursing experience in an acute care setting. * Minimum of one (1) year… more
    Nuvance Health (10/17/25)
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  • Wound/Skin Care Coordinator

    Sodus Rehab & Nursing Center (Medina, NY)
    …by the hospital.Qualifications:At least one year of experience in wound care and acute care experience. Case management and discharge planning experience ... and educational support to residents and their family regarding wound care management .3. Provide clinical support and coordination for wound care services on a… more
    Sodus Rehab & Nursing Center (12/24/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …high quality multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources ... may be at a high risk for readmission. The RN following these patients must have good clinical and..._ * _ _Bilingual_ _ * _ _Certified in Case Management , UM, Quality, Risk or MCG_… more
    Stony Brook University (12/20/25)
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  • Care Manager

    LIFEPlan CCO NY (Potsdam, NY)
    …Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master's degree with ... related fields are preferred. Work with people with intellectual and/or developmental disabilities, case management , or in the Mental Health or Substance Abuse… more
    LIFEPlan CCO NY (12/23/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …response by the department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager must have excellent verbal ... work. On the job or formal training in certified case management , denial and appeals management...preferred. -The Appeal Manager should have experience as a nurse in acute care clinical setting who… more
    BronxCare Health System (11/15/25)
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  • Transitional Care Clinical Quality Improvement…

    SUNY Upstate Medical University (Syracuse, NY)
    …customer service, and computer skills required. Preferred Qualifications: Experience working in case management preferred. Experience in data management and ... move through the care continuum. Responsibilities include coordination and management of projects that improve quality and patient safety...a health care related field, and three years of acute care RN experience. Excellent clinical, verbal,… more
    SUNY Upstate Medical University (12/31/25)
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