• Care Delivery Manager

    CenterLight Health System (Ridgewood, NY)
    …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be legally authorized (for example, ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care… more
    CenterLight Health System (04/17/25)
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  • Workers Compensation, Nurse Case…

    Brighton Health Plan Solutions, LLC (New York, NY)
    About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' Compensation ... for timely return to work. + Provides case management, utilization review , continued stay reviews, and based...MagnaCare policies and procedures. Essential Qualifications + Currently licensed Registered Nurse in the state of NY,… more
    Brighton Health Plan Solutions, LLC (03/20/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS: BLS preferred. PHYSICAL… more
    Arnot Health (05/08/25)
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  • Clinical Manager - Integrated Care Perm…

    FlexStaff (New York, NY)
    …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally authorized (for example,… more
    FlexStaff (04/18/25)
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  • Clinical Assessment Manager

    Actalent (White Plains, NY)
    …PACE site. Essential Skills + Current active and unrestricted license in NYS as a Registered Nurse . + Legally authorized to practice in the State in which the ... Clinical Assessment Manager - (UAS Nurse ) Job Description...experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning… more
    Actalent (05/03/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Flushing, NY)
    …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of...Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be… more
    CenterLight Health System (04/26/25)
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  • Care Manager

    Prime Care Coordination (Webster, NY)
    …supervisor ESSENTIAL ACADEMIC AND EXPERIENCE REQUIREMENTS: + New York State Licensed Registered Nurse , Bachelor's degree preferred OR Licensed Master's Social ... factors that affect the lives of iCircle Care members. The Care Manager implements an appropriate quality and cost-effective plan that utilizes all resources… more
    Prime Care Coordination (05/04/25)
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  • Case Manager , Medicaid Long Term Support…

    MVP Health Care (Rochester, NY)
    …York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment,...coordination of quality cost effective care. + The Case Manager will also monitor and review cases… more
    MVP Health Care (03/04/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to… more
    Rochester Regional Health (04/26/25)
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  • Advanced Practitioner Provider Manager…

    Mount Sinai Health System (New York, NY)
    …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State (NP candidates) + National Board Certification ... **Job Description** **Job Title - Advanced Practitioner Provider Manager ( Nurse Practitioner/Physician Assistant) - Ambulatory Oncology - Mount Sinai… more
    Mount Sinai Health System (04/22/25)
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