• Health Home Care Coord

    University of Rochester (Brighton, NY)
    …results received and acted upon as needed + Document plan of care, patient utilization , care management activities and other required information in state and ... and internal equity considerations._ **Responsibilities:** Provides professional comprehensive care management services to patients of the Strong Memorial Hospital,… more
    University of Rochester (12/11/25)
    - Related Jobs
  • Case Manager, RN (Medicare - Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
    Excellus BlueCross BlueShield (12/08/25)
    - Related Jobs
  • Case Manager - Registered Dietician

    CDPHP (Latham, NY)
    …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
    CDPHP (11/25/25)
    - Related Jobs
  • LPN - Wellness -Strategic Ins Dev - Full Time

    Guthrie (Binghamton, NY)
    …leadership and autonomy in nursing practice. + Preferred experience with care management / utilization review, and payer knowledge. + RN considered. Education: + ... to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in health promotion and...to health promotion and illness prevention, as well as management of chronic conditions. + Educates patients and their… more
    Guthrie (09/26/25)
    - Related Jobs
  • Psychiatric Mental Health NP

    St. Mary's Healthcare (Amsterdam, NY)
    …Healthcare is seeking a compassionate and experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our growing Outpatient Behavioral Health team ... to provide high-quality psychiatric care including diagnostic evaluations, medication management , and treatment planning to adult patients in an outpatient… more
    St. Mary's Healthcare (12/04/25)
    - Related Jobs
  • RN, Quality Assurance

    University of Rochester (Rochester, NY)
    …Serves as the primary internal contact for national and state registry data management questions, issues or concerns, but not limited to clinical data collection, ... validation, delivery, reconciliation, and data management activity timeliness. Concurrently and retrospectively reviews medical records and data to identify patient… more
    University of Rochester (11/06/25)
    - Related Jobs
  • Key Account Manager - Cardiovascular - Long Island

    Amgen (New York, NY)
    …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
    Amgen (10/12/25)
    - Related Jobs
  • Director of Care Coordination

    Crouse Hospital (Syracuse, NY)
    …a Registered Professional Nurse in New York State. + Recent acute care Utilization Management and Case Management experience. + Current certification in ... support systems. Coordinates financial and budgetary acquisitions, allocations and utilization of resources needed for quality, cost-effective, program(s)/service(s). +… more
    Crouse Hospital (09/18/25)
    - Related Jobs
  • Medicaid Special Programs Case Manager

    CDPHP (Latham, NY)
    …with Medicaid Long Term Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience with the New York State ... Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with...Complex Case Management Programs. Qualifications: + Registered Nurse with a current New York State license is… more
    CDPHP (11/21/25)
    - Related Jobs
  • Stat RN Acute Care

    Bassett Healthcare (Cooperstown, NY)
    …health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety of inpatient ... units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care, assist with...supervisory chart review + Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing… more
    Bassett Healthcare (11/07/25)
    - Related Jobs