• Care Manager

    Catholic Health Services (Smithtown, NY)
    …for patients across the acute care continuum. Performs required activities for utilization management , PRI assessment and completion, transition planning, and ... relevant clinical medical/surgical or specialty experience required. 2-3 years' Utilization Management , Performance Improvement, Transition Planning and/or Care… more
    Catholic Health Services (08/01/25)
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  • MDS Coordinator

    Elderwood (Hamburg, NY)
    …Federal and State requirements, and facility policies. + Actively participate in utilization management processes, including PDPM and state case mix process. ... / Hour Overview Elderwood at Hamburg is seeking a Registered Nurse (RN) to join our clinical team as a MDS Nurse . Position Overview: + An MDS (Minimum Data Set) … more
    Elderwood (08/02/25)
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  • Hyperbaric Oxygen Technologist

    Nuvance Health (Poughkeepsie, NY)
    …Course. The hyperbaric chamber operator assists in the provision of safe and therapeutic management of patient care to an assigned group of patients through the ... utilization Standards of Practice and policies and procedures and...patient care within the scope of practice as a Nurse (RN or LPN), Respiratory Therapist, EMT, Paramedic. *… more
    Nuvance Health (06/11/25)
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  • Care Coordinator RN SJC Mercy Comprehensive Care

    Catholic Health (Buffalo, NY)
    …a registered nurse required + One year previous case, disease, or utilization management experience preferred + One year previous experience in a physician ... illness, improve compliance with evidence based clinical guidelines, encourage patient self- management , increase coordination of care, increase the utilization more
    Catholic Health (07/23/25)
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  • Coordinator, Surgical Ops - Operating Room - Full…

    Guthrie (Binghamton, NY)
    …hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers ... degree in nursing preferred. * Licensed as a Registered Nurse in the State of Pennsylvania * BLS *...Certification within area of expertise or practice preferred (Nursing Management , CNOR, etc.) Must obtain certification within 3 years… more
    Guthrie (08/08/25)
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  • RN - Cardiothoracic Surgery Office

    Albany Medical Center (Albany, NY)
    …+ Facilitates the utilization of resources to meet patient outcomes (case management ). + Writes letters of medical necessity as indicated + Participates in the ... cardiac team when required. Under the supervision of the Nursing Supervisor and Nurse Manager, the Ambulatory Care RN provides nursing support to primary and… more
    Albany Medical Center (06/19/25)
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  • Pharmacist

    Sedgwick (Albany, NY)
    …needs, gives appropriate clinical options, and provides education to clients, nurse team, and treating physicians; develops specialized training for nurses to ... with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost...complex review of cases to identify referral for case management as needed. + Participates in client meetings and… more
    Sedgwick (08/13/25)
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  • 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...random supervisory chart review Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing… more
    Bassett Healthcare (08/01/25)
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  • Member Health Policy Clinical Manager

    CDPHP (Albany, NY)
    …valid NYS registration or license required. + Minimum two (2) years of utilization management concepts and techniques within an HMO, Managed Care Organization, ... new and emerging technologies and interfacing with the medical directors, utilization review staff, and other key policy stakeholders Qualifications: + Bachelor's… more
    CDPHP (08/13/25)
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  • 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 (08/07/25)
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