• Telephonic Case Manager

    Sedgwick (Albany, NY)
    …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
    Sedgwick (09/06/25)
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  • RN Supervisor - Evening/Night Shift

    Community Wellness Partners (Oswego, NY)
    …and directs the resident care. Assumes the duties of charge/medication/treatment nurse in emergency situations. May discipline staff after consultation with ... Nurse Manager/ ADON/DON regarding disciplinary action. Gives concise, accurate,...resident emergency transportation. Interprets principles of good health care management to St. Luke staff. Attends in-service programs and… more
    Community Wellness Partners (08/28/25)
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  • Field Case Manager-Sign-On Bonus Eligible

    Sedgwick (Albany, NY)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus Eligible **We are growing all across the US and are ... looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery… more
    Sedgwick (08/27/25)
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  • Community Health Assessment Field Nurse

    Excellus BlueCross BlueShield (Rochester, NY)
    …assignments, difficult members and highly visible issues. + Understanding of the basic Utilization Management and Case Management aspects of the department + ... and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks...and required. + Performs other functions as assigned by management . Minimum Qualifications: + RN with valid… more
    Excellus BlueCross BlueShield (08/19/25)
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  • Transition of Care Associate, Licensed Practical…

    CVS Health (Albany, NY)
    …TOC team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the… more
    CVS Health (08/30/25)
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  • Regional Home Care Nurse

    FlexStaff (Amityville, NY)
    **Req Number** 163602 Regional Home Care Nurse Amityville, NY Direct Hire Schedule: 8:30 AM - 5:30 PM FlexStaff is seeking a Regional Home Care Nurse for our ... healthcare and services for the elderly. PURPOSE: The Regional Home Care Nurse provides compassionate, skilled nursing care to patients in their homes, working… more
    FlexStaff (07/17/25)
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  • Utilization Review Nurse I

    Centene Corporation (New York, NY)
    …care and purchased care system. + Identifies and refers potential cases to Disease Management , Case Management , Demand Management and Transitional Care. ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (08/02/25)
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  • Clinical Nurse III: M2: Ortho/Spine…

    Albany Medical Center (Albany, NY)
    …Pharmacy clinical support staff pastoral care physical therapy / Occupational Therapy Case Management / Social work to facilitate discharge planning Access to ... Salary Range: $88,192.00 - $136,697.60 New Grad and experienced RN applications accepted If you are a new grad,...to assist you in being successful in your role ( Nurse Clinicians, Educators, Managers) Shared governance both unit and… more
    Albany Medical Center (09/01/25)
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  • Supervisor, Care Management

    Molina Healthcare (Rochester, NY)
    …illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** Oversees an integrated Care Management team responsible for case management , community ... fields). + Oversees the staff use of the electronic case management documentation system in compliance with...are per ToC protocols. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed… more
    Molina Healthcare (08/27/25)
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  • Utilization Review Nurse

    Public Consulting Group (Albany, NY)
    …and refers cases that do not meet established clinical or other criteria to the Case Management Supervisor + Identifies and communicates quality issues to the ... Case Management Supervisor + Communicates information to...in a managed care environment, Medicaid or hospital utilization management + RN required **Supervisory Responsibility** +… more
    Public Consulting Group (09/09/25)
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