• Clinical Audit and Appeals Consultant

    Intermountain Health (Albany, NY)
    …from an accredited institution. Education is verified + Current licensure as a registered nurse required. + Experience in Microsoft office, electronic medical ... **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical...appeals experience. + Demonstrated experience in utilization review and/or case management , hospital insurance billing, third party… more
    Intermountain Health (09/08/25)
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  • CM Delegation Liaison

    Molina Healthcare (Buffalo, NY)
    …managed care setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Social Worker (LSW), or Licensed ... oversight team, supports the implementation of newly identified delegates for care management . * Serves as subject matter expert for local health plan state… more
    Molina Healthcare (09/05/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …Responsibilities 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 ... or caregivers and reports changes in conditions to the RN Care Manager, which may require interventions. + Participate...Work experience with at risk populations in home care, case management , discharge planning or managed care.… more
    Elderwood (08/16/25)
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  • ACT Family Specialist

    Spectrum Health and Human Services (Olean, NY)
    …by the team leader to function as the lead mental health professional lead registered nurse , a team vocational specialist, family specialist, and/ or substance ... and demonstration of agency core values in day-to-day activities + Provide case management for clients including coordinating and monitoring the activities… more
    Spectrum Health and Human Services (08/29/25)
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  • Bloodless Med Clinical Coordinator - Part Time

    Nuvance Health (Carmel, NY)
    …* Strong presentation skills. License, Registration, or Certification Requirements: * Current NYS Registered Nurse ( RN ) License * Basic Life Support (BLS) ... inpatient rounding with patients, family members, providers, inpatient staff, nursing leadership, case management and physical therapy to educate on the blood… more
    Nuvance Health (07/18/25)
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  • TB Hotline Coordinator, Bureau of Tuberculosis…

    City of New York (New York, NY)
    …be responsible for triaging calls, coordinating follow-up with internal teams (eg, case management ) and ensuring seamless care transitions, especially regarding ... requests for infectious TB patients. - Work with BTBC case management staff to ensure appropriate discharge...of a valid New York State license as a Registered Nurse is required. Additional Information The… more
    City of New York (08/28/25)
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  • EISEP Care Manager- Part Time

    Catholic Charities Family Community Services (Rochester, NY)
    …Shift** Day **Job Category** Care Coordination **Description** Under direction, provides case management services to functionally impaired older adults. ... a trauma informed care environment. **Essential Duties and Responsibilities** Provides case management services to functionally impaired elderly. + Screens… more
    Catholic Charities Family Community Services (07/10/25)
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  • Operations Manager, VBCM- Remote

    Sharecare (Albany, NY)
    …CareFirst in a variety of areas such as integration activities, audits, and case management in collaboration with the Director. + Provide clinical/coaching ... with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred...+ Bachelor's degree preferred + 5+ years' experience in Care/ Case Management + NCQA experience preferred +… more
    Sharecare (07/30/25)
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  • Director Surgical Services - 10k Sign On Bonus!

    Ellis Medicine (Schenectady, NY)
    …of nursing or college/university + Current New York State license to practice as a Registered Nurse , Nurse Practitioner, or Physician's Assistant. + A BS ... Anesthesia, and the Chief of Surgery. The Director supervises the Surgical Services Nurse Managers, Nurse Educator, and Manager Sterile Processing. EDUCATION AND… more
    Ellis Medicine (07/17/25)
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  • Shift Supervisor

    Project Renewal, Inc. (Bronx, NY)
    …with mental illness and/or substance abuse. Our comprehensive services include case management , individual and group counseling, recreational activities, and ... on-site psychiatric team provides services Monday through Friday, staffed by a psychiatrist, nurse practitioner, registered nurse , and a licensed practical … more
    Project Renewal, Inc. (09/04/25)
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