• Case Manager, RN (Medicare - Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
    Albany Medical Center (11/25/25)
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  • Case Manager ( RN )

    WMCHealth (Suffern, NY)
    … experience. Current licensure in the State of New York as a Registered Nurse . Understanding of Medicare/Medicaid criteria and insurance regulations and ... Case Manager ( RN ) Company: Good Samaritan Hospital City/State: Suffern, NY...Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Care Management Union: YES Union… more
    WMCHealth (11/06/25)
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  • RN Coordinator - Emergency Department…

    Trinity Health (Syracuse, NY)
    …looking for an exciting career, this is your opportunity. **Position Purpose:** The Registered Nurse Coordinator is a dynamic leadership role that contributes to ... all specialties and all ages. The Emergency Department offers RN 's the opportunity for a wide variety of patient...the operational management of the unit to promote and support an… more
    Trinity Health (09/19/25)
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  • Case Mgr, RN Casual- Case Management

    Northwell Health (Staten Island, NY)
    …Nursing, required. * Current license to practice as a Registered Professional Nurse in New York State. * Case Management Certification, preferred. * Minimum ... another level of care according to regulatory standards. * * Performs concurrent utilization management using Interqual criteria. * Conducts chart review for… more
    Northwell Health (11/21/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in state of practice. + ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in… more
    Glengariff Rehabilitation and Healthcare Center (11/26/25)
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  • VPS Psychiatric Nurse Practitioner

    City of New York (New York, NY)
    …requirement above, candidates must have three years of full-time satisfactory experience as a Registered Nurse , two of which must have been in a supervisory ... Medical and Mental Health Directors when needed and regarding utilization off MHL Section 9.37 authority. 7. Attend office...have three years of full-time satisfactory experience as a Registered Nurse , one of which must have… more
    City of New York (11/07/25)
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  • RN Coordinator - Cardiovascular Lab

    Trinity Health (Syracuse, NY)
    …comprehensive interdisciplinary care from admission to discharge. **Position Purpose:** The Registered Nurse Coordinator is a dynamic leadership role that ... contributes to the operational management of the unit to promote and support an...that supports and leads unit and/or organizational changes. A RN Coordinator helps to identify problems, offers solutions, and… more
    Trinity Health (09/13/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Syracuse, NY)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
    Molina Healthcare (11/21/25)
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  • Clinical Review Nurse - Concurrent Review

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines + Works with… more
    Centene Corporation (11/16/25)
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