• Utilization Management Reviewer…

    Excellus BlueCross BlueShield (Utica, NY)
    …cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as ... depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of… more
    Excellus BlueCross BlueShield (05/02/25)
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  • RESTART Intake & Case Management

    Catholic Charities Family Community Services (Rochester, NY)
    **RESTART Intake & Case Management Specialist** **Job Details** **Job Location** Jones House - Rochester, NY **Position Type** Full Time **Education Level** ... Shift** Evening **Description** Under general supervision, provides intake support, ongoing case management and referral coordination services to residential… more
    Catholic Charities Family Community Services (05/07/25)
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  • RN Case Management - Acute Care, St.…

    Trinity Health (Albany, NY)
    …+ 2 years of experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Case Manager** **Full-Time Days** **St. Peter's Hospital** If you...Engage the patient and care team in the joint management of key patient outcomes such as management more
    Trinity Health (05/02/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    …group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational ... Job Description: Summary: Conducts case management program activities in accordance...consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered… more
    Excellus BlueCross BlueShield (05/10/25)
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  • Case Manager, CCHI/Columbia-Greene…

    St. Catherine's Center for Children (Hudson, NY)
    …degree in human service field may be considered with at least two years of experience in case planning or case management . + A Clean and Valid New York State ... providers including Health Homes and school districts. + Conduct case management activities such as meeting with...maintenance + budgeting + meal preparation and nutrition time management + parenting skills + utilization of… more
    St. Catherine's Center for Children (04/26/25)
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  • Case Planner

    House of the Good Shepherd (Utica, NY)
    …one year of successful experience in human services, social services, child welfare, case management , mental health, foster care, juvenile justice, or other ... 4 Year Degree Salary Range $25.47 - $25.47 Hourly Travel Percentage Up to 50% Job Shift Day Description...(eg log entries, mileage, medical, incident reports, intake, Uniform Case Record (UCR), Plan Amendments, affidavits, utilization more
    House of the Good Shepherd (02/22/25)
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  • Case Manager

    Callen-Lorde Community Health Center (Bronx, NY)
    …preferred. + In the absence of education credentials, experience in social services, case management , and/or health care will be considered. + Familiarity with ... CASE MANAGER Job Details Job Location Callen-Lorde Community...Education Level High School Salary Range $28.00 - $28.00 Travel Percentage None Job Shift Day Job Category Health… more
    Callen-Lorde Community Health Center (04/19/25)
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  • Clinical Care/ Case Manager (RN Case

    Highland Hospital (Rochester, NY)
    …the Clinical Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... **16426BR** **Title:** Clinical Care/ Case Manager (RN Case Manager) **Department/Cost...nursing experience. Ambulatory care experience in community health, care management , disease management , quality improvement and/or … more
    Highland Hospital (03/26/25)
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  • Hospice Case Manager

    Guthrie (Vestal, NY)
    …balance? We're offering an incredible opportunity for a compassionate and dedicated RN Case Manager to join our Guthrie Hospice Vestal team. Now offering up to ... and their families. Our team of skilled and empathetic Case Managers plays a crucial role in delivering personalized...experience with end of life and /or chronic disease management is preferred. + Experience and skill in supervision… more
    Guthrie (05/06/25)
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  • RN OB Case Manager

    Highland Hospital (Rochester, NY)
    …the OB RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... **16657BR** **Title:** RN OB Case Manager **Department/Cost Center:** 628 - Ayrault Womans...nursing experience preferred. Progressive clinical experience; community health, care management , and/or disease management is preferred. Experience… more
    Highland Hospital (05/13/25)
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