• Registered Nurse (RN) - Utilization

    Rochester Regional Health (Rochester, NY)
    …class as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on ... Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday -… more
    Rochester Regional Health (12/31/25)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... + 2 + years of experience as a Registered Nurse in adult acute care, critical care, Emergency or...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
    CVS Health (01/02/26)
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  • LPN Licensed Practical Nurse

    Guthrie (Cortland, NY)
    …for those with less than one year of experience) Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic ... Packer Hospital Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior… more
    Guthrie (10/28/25)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for ... assigned patients. * Completes Utilization Management and Quality Screening for assigned patients.* Applies MCG...Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State current license.* Bachelor's… more
    Albany Medical Center (12/03/25)
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  • Manager, Utilization Management

    Centene Corporation (New York, NY)
    …Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages prior authorization, concurrent...pm with holiday rotation.** **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
    Centene Corporation (01/10/26)
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  • Registered Nurse (RN)- Case…

    Northwell Health (New York, NY)
    …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
    Northwell Health (01/13/26)
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  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... appropriate LOS and financial constraints. + Provides collaborative care management with the primary nurse in assessing...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
    Albany Medical Center (12/06/25)
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  • Bed Management Registered Nurse

    Northwell Health (Sleepy Hollow, NY)
    …and transfer of patients to the facility. Job Responsibility + Promotes optimum utilization of hospital beds; conducts rounds and meets with staff regarding bed ... is complete, and ensures hand-off of communication to accepting nurse . + Ensures beds are assigned based on level...of technical experience and 0-2 years of leadership / management experience, required. Additional Salary Detail** The salary range… more
    Northwell Health (01/11/26)
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  • Nurse Practitioner - ADS Telemetry - Mount…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Job Title - Nurse Practitioner- ADS Telemetry - Mount Sinai Hospital - Full Time - Night** A nurse practitioner (NP) as described in Title ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
    Mount Sinai Health System (01/03/26)
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  • Registered Nurse - Long Term Care- CLC

    Veterans Affairs, Veterans Health Administration (Batavia, NY)
    …Responsibilities The Batavia VA Medical Center is seeking a qualified full-time Registered Nurse (RN) to join Long-term care in the Community Living Center (CLC) in ... will be considered and referred as vacancies become available. The CLC Registered Nurse is responsible and accountable for all elements of the nursing process when… more
    Veterans Affairs, Veterans Health Administration (01/08/26)
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