• Case Manager, Medicaid Long Term Support Program

    MVP Health Care (Tarrytown, NY)
    …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management ...with an established interdisciplinary team. + The role requires review of a comprehensive assessment and development of a… more
    MVP Health Care (11/21/25)
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  • 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)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with...department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager… more
    BronxCare Health System (11/15/25)
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  • VP Care Management Post-Acute Care…

    Kaleida Health (Buffalo, NY)
    …preferred. RN licensure required.** **Experience** **10 years of care management / utilization management experience required in hospital and/or ambulatory ... **VP Care Management Post-Acute Care Transition** **Location:** **Buffalo General Medical...daily oversight of operations, the VP will partner with Utilization Review , Revenue Cycle, and Clinical leadership… more
    Kaleida Health (09/17/25)
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  • AVP of OR/Peri-Op Services

    Albany Medical Center (Albany, NY)
    …or related field. Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, ... and objectives. As a member of the nursing executive management team, the AVP participates in the efficient and...changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by… more
    Albany Medical Center (09/27/25)
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  • Data Management Lead

    Parexel (Albany, NY)
    …mitigations and drive resolution with cross-functional stakeholders as part of the Risk Management Plan. + Review and analyze metrics to derive meaningful ... practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable...project-level resourcing of staff and staff assignments. + Regularly review and update Data Management resources to… more
    Parexel (10/11/25)
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  • Case Manager - AOMC

    Arnot Health (Elmira, NY)
    …related to the management of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The ... The Case Manager tracks and trends LOS , resource utilization , outliers, readmissions , denials , delay days...with a current license as a registered nurse . BSN or Case Management Certification… more
    Arnot Health (11/06/25)
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  • Hyperbaric Oxygen Technologist

    Nuvance Health (Poughkeepsie, NY)
    …license or certification in the respective field of qualifying credential (eg, Registered Nurse , LPN, Respiratory Therapist, EMT or Paramedic) * Maintenance ... operator assists in the provision of safe and therapeutic management of patient care to an assigned group of...patient care within the scope of practice as a Nurse ( RN or LPN), Respiratory Therapist, EMT,… more
    Nuvance Health (09/10/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …8. Knowledge of and experience in Quality Assessment and Improvement, Utilization Review . 9. Ability to develop management systems to track data over time. ... year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years… more
    Calvary Hospital (11/19/25)
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  • Nurse Case Manager

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