• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Rochester, NY)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals.… more
    Molina Healthcare (09/06/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …coverage as needed and other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse working on their degree with ... RN Case Manager **Position Summary** At Stony Brook...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
    Stony Brook University (07/16/25)
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  • RN OB Case Manager

    Highland Hospital (Rochester, NY)
    …Health **Job Description:** Under general direction of the Highland Women's Health (HWH) Nurse Manager and Division Director, the OB RN Care Manager's central ... **17006BR** **Title:** RN OB Case Manager **Department/Cost Center:** 628 -...role integrates and coordinates access and utilization management, proactive patient management, care facilitation and treatment… more
    Highland Hospital (09/16/25)
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  • Logistics RN Bed Management

    Bassett Healthcare (Cooperstown, NY)
    …nursing experience, required Licensure/Certifications: + Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: + Light work: ... the best quality of life possible. What you'll do The Logistics C3 RN is responsible for appropriate placement for patient admissions, coordinating and expediting… more
    Bassett Healthcare (09/09/25)
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  • Nursing Supervisor RN

    Loretto Management Corporation (Jamesville, NY)
    Overview Now Hiring Per Diem Nursing Supervisor, RN at Loretto's Nottingham RHCF Location! TheNursing Supervisor RNmaintains quality clinical care for ... a timely and efficient manner. Ensures the most efficient utilization of assigned personnel to ensure an optimal workflow....a related field preferred. + Current New York State RN license and registration in good standing required. +… more
    Loretto Management Corporation (09/18/25)
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  • Transitional Care RN - Case Management…

    Mohawk Valley Health System (Utica, NY)
    …Management experience Licensure/Certification Requirements REQUIRED: + Current NYS Licensed Registered Professional Nurse . Disclaimer Qualified applicants will ... Transitional Care RN - Case Management - Full Time -...Time - Days Department: CASE MANAGEMENT Job Summary The RN - Transitional Care Coordinator is responsible for assessing… more
    Mohawk Valley Health System (07/09/25)
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  • RN Case Manager

    Amergis (Red Hook, NY)
    Salary: $2200 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... resources, service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case… more
    Amergis (09/24/25)
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  • RN -Manager - FT- Sunnyview Rehab…

    Trinity Health (Schenectady, NY)
    …Director of Nursing. ​ **What you will need:** + Current New York State Registered Professional Nurse licensure (The Program Nurse Manager requires ... from a stroke, traumatic injury or disabling illness. **Full-Time RN -Manager-Sunnyview​ Rehab Hospital-Brain Injury Unit** Sunnyview Rehab Hospital, recognized by… more
    Trinity Health (09/17/25)
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  • RN - Case Manager - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    RN - Case Manager - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case Management Department. Provides ... Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: +… more
    Mohawk Valley Health System (09/11/25)
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  • Case Manager - RN

    Calvary Hospital (Bronx, NY)
    …Location: Bronx Campus Salary: $63.1783 hourly Status: Part-Time Qualifications: + Registered professional nurse , current unencumbered NYS licensure. + Five ... Transit Check. + Free On-Site Parking Requirements Participates in the Utilization Review, Discharge Planning, Risk Management, and Quality Assessment and… more
    Calvary Hospital (09/11/25)
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