• Clinical Care Manager ( RN ) -- CMO

    VNS Health (Manhattan, NY)
    …+ New York State License and current registration in Occupational Therapy required + Certified Case Manager - Commission for Case Manager Certification ... care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to...+ License and current registration to practice as a Registered Professional Nurse in NYS required or… more
    VNS Health (04/15/25)
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  • RN , Care Manager (Full-Time)

    Hudson Headwaters Health Network (Warrensburg, NY)
    …partnerships Proposed Schedule: 40 hours per week. Monday-Friday 8am-4:30pm Position Summary The RN Care Manager is an integral part of the patient's care ... and other members of the care team for appropriate healthcare utilization , chronic disease (eg diabetes, hypertension) self-management skills, effective care… more
    Hudson Headwaters Health Network (04/30/25)
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  • Manager , Grievance and Appeals, RN

    VNS Health (Manhattan, NY)
    …navigating the complexities of healthcare? VNS Health Plans is seeking a dedicated Manager , Grievance and Appeals ( RN )to lead the daily operations of our ... behalf. * Data-Driven Decisions: Maintain the integrity of our case files and data collection systems. Prepare insightful reports...+ License and current registration to practice as a registered professional nurse in New York State… more
    VNS Health (03/05/25)
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  • Education Manager , RN (Health…

    VNS Health (Manhattan, NY)
    …of healthcare through education? Join us at VNS Health Plans as an Education Manager ( RN ) and make a meaningful impact on clinical training and development ... and Certifications:Licensure: Current license and registration to practice as a Registered Professional Nurse CM certification (Certified Care Management)… more
    VNS Health (03/05/25)
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  • Case Manager Supervisor

    Stony Brook University (Stony Brook, NY)
    Case Manager Supervisor **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/Supervisor Case Manager ** is a valuable member of our team, ... standard of excellence. **Duties of a TH Staff Associate/Supervising Case Manager in the Care Management Department...as needed. **Preferred Qualifications:** + Master's Degree, + Certified RN , + CM Five years Case management… more
    Stony Brook University (04/15/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (NY)
    case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Telehealth** _Location:_ While this position is fully...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
    Elevance Health (04/09/25)
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  • Hospice Case Manager

    Guthrie (Binghamton, NY)
    …fantastic work-life balance? We're offering an incredible opportunity for a compassionate and dedicated RN Case Manager to join our Guthrie Hospice Vestal ... the dignity and wishes of each individual. As a Case Manager with Guthrie Hospice, you will...providing care for Guthrie Hospice. Education, License & Cert: Registered Professional Nurse currently licensed in New… more
    Guthrie (04/25/25)
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  • Nurse Case Manager

    Nuvance Health (Carmel, NY)
    …affiliates, Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management ... RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred.… more
    Nuvance Health (03/12/25)
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  • Managed Care Coordinator Clinician Non- RN

    Elevance Health (Latham, NY)
    …Non- RN (US)** is responsible for working under the direction/supervision of an RN , with overall responsibility for the members case , as required by ... **Managed Care Coordinator Clinician Non- RN ** **Location:** Within 50 miles of a Pulse...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (04/29/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Albany, NY)
    …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… more
    Highmark Health (04/25/25)
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