• LPN - Nysut (VNA)

    Mohawk Valley Health System (Utica, NY)
    …visits. + Gathers data and reports significant change in patient's condition to Registered Nurse or Supervisor as appropriate promptly. + Instructs patients and ... of supportive and restorative care as directed by the Registered Professional Nurse . Core Job Responsibilities +...in appropriate agency meetings and the quality improvement and utilization review activities of the organization. + Supports the… more
    Mohawk Valley Health System (03/22/25)
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  • Sr Medical Assistant

    WMCHealth (Valhalla, NY)
    …administer care using good judgment, methods, and skills under the direction of a Registered Nurse or Physician. The Senior Medical Assistant acts as a liaison ... faxing and filing of confidential documents; and basic Internet and email utilization . + Maintains a professional appearance and a clean, safe environment. +… more
    WMCHealth (03/20/25)
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  • Case Manager, Medicaid Long Term Support Program

    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 ... **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment, planning,… more
    MVP Health Care (03/04/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management...the Case Manager include, but are not limited to, utilization review, case management, care transition, collaboration with physicians… more
    Ellis Medicine (04/25/25)
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  • Clinical Case Manager

    SUNY Upstate Medical University (Syracuse, NY)
    …coordinating, facilitating and monitoring resources to achieve optimal clinical outcomes, utilization of services and financial goals. Oversees the discharge process ... discharge services that are available. Minimum Qualifications: NYS licensed RN (or eligible), Bachelor's degree in Nursing or a...plus a minimum of three (3) years acute care RN or acute care, transitional care, or chronic care… more
    SUNY Upstate Medical University (04/16/25)
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  • Clinical Case Manager

    SUNY Upstate Medical University (Syracuse, NY)
    …coordinating, facilitating and monitoring resources to achieve optimal clinical outcomes, utilization of services, and financial goals. The Clinical Case Manager ... appropriate discharge plan/plan of care. Minimum Qualifications: NYS licensed RN (or eligible), Bachelor's degree in Nursing or a...plus a minimum of three (3) years acute care RN or acute care, transitional care, or chronic care… more
    SUNY Upstate Medical University (02/25/25)
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  • Appeals Nurse

    Evolent (Albany, NY)
    …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
    Evolent (05/10/25)
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  • Nurse Case Manager - Full Time, Days

    Nuvance Health (Poughkeepsie, NY)
    …care. Must have Associate's Degree or BSN preferred. Must have current RN license. Preferred experience in Utilization Review/Management.Company: Vassar Brothers ... affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the… more
    Nuvance Health (04/26/25)
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  • Transition of Care Associate - Licensed Practical…

    CVS Health (Albany, NY)
    …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . + Complete post discharge call and required assessments...driven timelines. Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
    CVS Health (05/03/25)
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  • Patient Care Coordinator

    Kaleida Health (Williamsville, NY)
    …Basic Life Support (BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and American Heart Association-Basic Life ... And Credentials** **Responsibilities:** Current New York State registration as a Registered Professional Nurse required. Bachelor of Science degree in… more
    Kaleida Health (03/20/25)
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