• Nurse Case Manager

    Nuvance Health (Carmel, NY)
    …affiliates, Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management ... RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred.… more
    Nuvance Health (09/10/25)
    - Related Jobs

  • Assistant Director of Case Management

    Stony Brook University (Stony Brook, NY)
    …the following but are not limited to:** + Responsible for addressing Utilization management , denials and appeal, discharge and transition planning activities, ... Management leadership and staff functions regarding care management and utilization management activities....Qualifications:** * Possession of license to practice as a registered nurse in New York State. *… more
    Stony Brook University (09/23/25)
    - Related Jobs

  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and...required + Licensed in New York State as a Registered Nurse + For hires after 10/28/2024,… more
    Rochester Regional Health (07/25/25)
    - Related Jobs

  • Care Facilitator

    Rochester Regional Health (Rochester, NY)
    …State as a Registered Nurse PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience + Bachelor's Degree EDUCATION: LICENSES ... Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education… more
    Rochester Regional Health (09/18/25)
    - Related Jobs

  • Clinical Program Manager - Clinical Command Center…

    Mount Sinai Health System (New York, NY)
    …patient emergencies and supporting patient-centered care. **Qualifications** Must be a Licensed Registered Nurse , Physician Assistant or Nurse Practitioner ... emergency department experience preferred 3. Two (2) years of management or supervisory experience preferred 4. One (1) year...of Patient Flow experience preferred 5. EPIC experience preferred. Registered Nurse Licensed NYS Registered … more
    Mount Sinai Health System (08/09/25)
    - Related Jobs

  • Care Review Clinician, Prior Authorization

    Molina Healthcare (Albany, NY)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
    Molina Healthcare (09/18/25)
    - Related Jobs

  • Manager, Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
    Molina Healthcare (09/27/25)
    - Related Jobs

  • Director of Care Management - Mount Sinai…

    Mount Sinai Health System (Long Island City, NY)
    …field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions ... Description** The Director will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate… more
    Mount Sinai Health System (07/24/25)
    - Related Jobs

  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    … Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have proficient ... $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and… more
    Arnot Health (08/08/25)
    - Related Jobs

  • Medical Data Entry Manager

    Constructive Partnerships Unlimited (Brooklyn, NY)
    …communication on medical issues with VP of Nursing, Nurse Administrator, Registered Nurse ( RN ), and Medical Coordinators2. Maintains medical records, ... and Nurse Administrators, works collaboratively and assists in the management of medical care for all individuals served and maintaining appropriate… more
    Constructive Partnerships Unlimited (09/22/25)
    - Related Jobs