• Trinsic Nurse Care Manager Cofr-11

    Intermountain Health (Albany, NY)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and...degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position… more
    Intermountain Health (05/02/25)
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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 ... may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities… more
    Elderwood (04/30/25)
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  • Clinical Nurse -WoundCare-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …and/or education role. Licensing and Certification Requirements (if applicable) License: Registered Nurse (current registration) Issuing Agency: DOH/Office of ... **Job Title: Clinical Nurse -WoundCare-WOCN-Mount Sinai Hospital-FT/Days** The Nurse Clinician is a registered professional ...2) Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research + Maintains clinical… more
    Mount Sinai Health System (04/29/25)
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  • Care Delivery Manager

    CenterLight Health System (Ridgewood, NY)
    …hours of mandatory training requirements such as infection control coursework. + Case Management Certification recommended within 2 years of the employment. ... care. Serve the organization as a member of the management team, working alongside with all departments and employees...license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be… more
    CenterLight Health System (04/17/25)
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  • Delegation Oversight Nurse Remote based…

    Molina Healthcare (Albany, NY)
    …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
    Molina Healthcare (04/20/25)
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  • Clinical Appeals Specialist

    CDPHP (Albany, NY)
    …grievances, NYS external review, and making recommendations for change. QUALIFICATIONS: + Registered Nurse , Physician Assistant or Nurse Practitioner, with ... or license required. LPN and 3 years of Appeals experience in lieu of RN degree. + Associates degree required. Bachelor's degree preferred. + Minimum three (3) years… more
    CDPHP (04/07/25)
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  • Nursing Supervisor - Per Diem

    St. James Hospital (Hornell, NY)
    …Supervision of all nursing staff within the facility along with elements of case management . Performs complex and varied tasks requiring independent knowledge, ... ED and Med/Surg manager with staff scheduling + Assists case management with completion of UR reviews...desirable. Licenses and/or Certifications + Current license as a Registered Nurse , BSN preferred + Basic Life… more
    St. James Hospital (04/13/25)
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  • Clinical Assessment Manager

    Actalent (White Plains, NY)
    …five (5+) years of experience in care/ case management , disease management , population health management , utilization review, quality assurance, or ... escalate issues of changes to ensure proper care and management of cases are followed. + Promote and educate...Current active and unrestricted license in NYS as a Registered Nurse . + Legally authorized to practice… more
    Actalent (05/03/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Flushing, NY)
    …five (5+) years of experience in care/ case management , disease management , population health management , utilization review, quality assurance, or ... escalate issues of changes to ensure proper care and management of cases are followed. + Promotes and educates...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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  • Clinical Manager - Integrated Care Perm…

    FlexStaff (New York, NY)
    …five (5+) years of experience in care/ case management , disease management , population health management , utilization review, quality assurance, or ... escalate issues of changes to ensure proper care and management of cases are followed. Promotes and educates potential...Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally… more
    FlexStaff (04/18/25)
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