• Clinical Learning Facilitator - Utilization

    Molina Healthcare (Buffalo, NY)
    …State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. + One year… more
    Molina Healthcare (09/17/25)
    - Related Jobs
  • RN Acute Case Manager

    Guthrie (Binghamton, NY)
    …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
    Guthrie (08/27/25)
    - Related Jobs
  • RN Supervisor Case Management - Full…

    Mohawk Valley Health System (Utica, NY)
    …comprehensive care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, ... RN Supervisor Case Management - Full...Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New… more
    Mohawk Valley Health System (07/09/25)
    - Related Jobs
  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …The Discharge Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient ... utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include...CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management… more
    Ellis Medicine (08/28/25)
    - Related Jobs
  • Registered Nurse Case

    Northwell Health (Staten Island, NY)
    **Req Number** 167724 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
    Northwell Health (09/17/25)
    - Related Jobs
  • Registered Nurse ( RN ) Care…

    Whitney Young Health Center (Albany, NY)
    Registered Nurse ( RN ) Care Manager - Women's Health/Pediatrics (Req 100987) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) ... to intermediate proficiency with computer use; BLS Certification Preferred Qualifications: Case Manager (CM) certification. Flexibility to adjust to schedule… more
    Whitney Young Health Center (08/16/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    Glens Falls Hospital (Glens Falls, NY)
    …can be found*here*. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options for ... changes in patient condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the… more
    Glens Falls Hospital (08/08/25)
    - Related Jobs
  • Registered Nurse Case

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager I - Home Care Hours Per Week: 40Schedule: FT SUMMARY: The RN Case Manager is responsible for the ... making changes in response to changing patient needs. The RN Case Manager identifies appropriate...minimum of 2 years of home care experience. + Registered Nurse license in New York State.… more
    Rochester Regional Health (09/24/25)
    - Related Jobs
  • Case Manager , Registered

    CVS Health (NY)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year… more
    CVS Health (10/02/25)
    - Related Jobs
  • Registered Nurse Case

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case ... Plan of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates… more
    Rochester Regional Health (09/23/25)
    - Related Jobs