• Telephonic Nurse Case Manager II

    Elevance Health (Latham, NY)
    ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... service members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care … more
    Elevance Health (08/14/25)
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  • Disease Management Nurse - Remote

    Sharecare (Albany, NY)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...for supporting the goals and objectives of the Disease Management program by providing high quality telephonic more
    Sharecare (08/13/25)
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  • Nurse Case Manager - Part Time, Days

    Nuvance Health (Poughkeepsie, NY)
    …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support… more
    Nuvance Health (07/19/25)
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  • Quality Review Nurse

    Sedgwick (Albany, NY)
    …preferred. **Experience** Six (6) years of related line of business experience in telephonic case management (TCM) and/or utilization review or equivalent ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and quality… more
    Sedgwick (08/15/25)
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  • RN Care Coordinator Transitional Care - Strategic…

    Guthrie (Corning, NY)
    …leadership and autonomy in nursing practice. Preferred experience with care management / utilization review, and payer knowledge. Fast paced ambulatory care ... On Bonus For Qualified RNs! Summary: The Care Coordinator-Transitional Care provides telephonic outreach to all patients that have been discharged from an inpatient… more
    Guthrie (08/08/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …of America) Salary Range: $60,028.00 - $99,023.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse (RN) - Full TimeHIV Medicine Clinic - Albany, NY We have an ... comprehensive HIV services including primary medical care, medical case management , medication adherence, peer services, substance abuse counseling, mental health… more
    Albany Medical Center (07/23/25)
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  • Ambulatory Care Manager

    WMCHealth (West Nyack, NY)
    …Bon Secours Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange County Union: NO Position: Full Time ... and work together with primary care providers and members of the Care Management team. The Ambulatory Care Manger is responsible for coordinating care to obtain… more
    WMCHealth (07/24/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities ... Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members...the needed services are covered Elderwood IPA. + Direct telephonic and in-person engagement with individuals with chronic medical… more
    Elderwood (08/16/25)
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  • Clinical Admissions Facilitator (Licensed PT, OT,…

    Trinity Health (Schenectady, NY)
    …members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients ... through on site and/or telephonic assessment and record review in collaboration with physicians,...Licensure as a Physical Therapist, Occupational Therapist, or Registered Nurse + A minimum of **2 years of clinical… more
    Trinity Health (08/14/25)
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