• RN -Ambulatory - Urogynecology Nurse

    Albany Medical Center (Albany, NY)
    …Salary range: $68,640 - $99,023 Under the Supervision of the Nursing Supervisor and/or Nurse Manager , the RN provides nursing support to primary and ... documentation as required by the department. + Facilitates the utilization of resources to meet patient outcomes ( case...staff + Works with division physicians, administrative staff and Nurse Manager to assure compliance with regulatory… more
    Albany Medical Center (03/31/25)
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  • RN Assessment Coordinator (Ltss)

    Elevance Health (Buffalo, NY)
    …LTSS Svc Coordinator RN -Clinician** is responsible for overall management of member's case within the scope of licensure. The RN has overall responsibility ... co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and...LPN, LCSW, LMSW, or other licensed professionals than an RN , in coordinating services for the member. + Travels… more
    Elevance Health (04/26/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Albany, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (04/20/25)
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  • Care Manager

    Rochester Regional Health (Rochester, NY)
    …hours per week Schedule: M-F Days 8am-430pm, weekend/holiday rotation SUMMARY: As a Registered Nurse - Care Manager , your excellent interpersonal, leadership ... QUALIFICATIONS: * 3 years of acute hospital care, Nursing, Case Management, or Utilization Management experience preferred...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (04/30/25)
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  • Mobile Professional Care Manager (Hybrid)

    UPMC (Jamestown, NY)
    …Counselor (LPC), Licensed Social Worker (LSW), Licensed Mental/Behavioral Health Professional, or Registered Nurse ( RN ) + CPR certification required based ... services field with a master's degree, or a licensed Registered Nurse . + Minimum of 3 years...3 years of experience in behavioral health, clinical care, utilization management, home care, discharge planning, or case more
    UPMC (04/19/25)
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  • Nurse -PT

    Outreach Development Corporation (Brentwood, NY)
    …health and/or substance abuse treatment or related setting; Outreach is seeking an experienced Registered Nurse ( RN ) to work in our Men's residential ... stress management, smoking cessation, sexually transmitted diseases, etc Qualifications + NYS Registered Nurse ( RN ) + Previous experience working as… more
    Outreach Development Corporation (04/23/25)
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  • Manager Care Coordination

    Crouse Hospital (Syracuse, NY)
    …and contractual agreements. Manager , Care Coordination Requirements: + Licensed as a Registered Nurse in New York State + Bachelor's degree + Five (5) ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day...responsible for providing day to day management of the RN Care Managers in the department, including Utilization more
    Crouse Hospital (03/28/25)
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  • Ambulatory Care Manager

    WMCHealth (West Nyack, NY)
    …national care management standards and community resources highly preferred. Education: Registered Nurse , Bachelor's degree preferred Licenses / Certifications : ... Ambulatory Care Manager Company: Bon Secours Charity Medical Group City/State:...Current license as a Registered Nurse is required. About Us: Bon… more
    WMCHealth (04/24/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …In the role of an Social Work Care Manager , you will partner with the Registered Nurse and are a critical resource for our members as you are responsible for ... of whether the needed services are covered Elderwood IPA. In Addition, assisting the RN Care Manager where necessary with assessing a member's home health and… more
    Elderwood (04/30/25)
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  • Trinsic Nurse Care Manager Cofr-11

    Intermountain Health (Albany, NY)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... outcomes. Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care....degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined… more
    Intermountain Health (05/02/25)
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