• Utilization Case Manager…

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (12/02/25)
    - Related Jobs

  • Case Manager ( Inpatient…

    Ellis Medicine (Schenectady, NY)
    …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
    Ellis Medicine (12/11/25)
    - Related Jobs

  • Registered Nurse (RN) - Utilization…

    Rochester Regional Health (Rochester, NY)
    …problem solving. ​ REQUIRED QUALIFICATIONS: + 3 years of acute hospital care, Case Management and/or Utilization Management experience + Excellent oral and ... Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per...(Full-Time) Schedule: Monday - Friday, Days SUMMARY: Review all inpatient medical necessity denials for the health system based… more
    Rochester Regional Health (12/31/25)
    - Related Jobs

  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
    Guthrie (11/26/25)
    - Related Jobs

  • Registered Nurse Utilization Review KMH

    Catholic Health (Kenmore, NY)
    …NYS RN license + Holds, or will obtain within one year of hire, Certified Case Manager (CCM) + Certification in a Nationally Recognized Utilization Review ... 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle...BS in health-related field and working knowledge/experience in documentation utilization review in an acute care/ inpatient setting… more
    Catholic Health (12/17/25)
    - Related Jobs

  • RN/ Case Manager -MSH- Case…

    Mount Sinai Health System (New York, NY)
    …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years ... **Job Description** **RN/ Case Manager MSH Case ...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management… more
    Mount Sinai Health System (12/23/25)
    - Related Jobs

  • Social Worker - Inpatient Behavioral Health

    Garnet Health (Harris, NY)
    …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… more
    Garnet Health (11/25/25)
    - Related Jobs

  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation… more
    Stony Brook University (10/23/25)
    - Related Jobs

  • Case Manager

    Arms Acres (Bronx, NY)
    Case Manager Bronx, NY (http://maps.google.com/maps?q=3584+Jerome+Avenue+Bronx+NY+USA+10467) Apply Description CASAC-T, CASAC, LMSW, LMHC l Supporting clients ... in-house & in the community Arms Acres is a licensed facility providing inpatient and outpatient treatment for those suffering from addiction to alcohol or drugs.… more
    Arms Acres (12/19/25)
    - Related Jobs

  • Registered Nurse (RN)- Case Manger

    Northwell Health (New York, NY)
    … management. + * Participates in data collection and analysis by completing case manager 's worksheet and inputting variances into a Microsoft Access ... years related health care experience, required. Minimum of (2) two years of case management experience, inpatient , HMO, insurance or other outpatient setting.… more
    Northwell Health (12/31/25)
    - Related Jobs