• AVP, Home Care Services, Quality

    Northwell Health (Westbury, NY)
    … Nurse in New York State required. + Minimum eight (8) years respnsible home care nursing and management experience, required. + Recent CHHA experience, as ... Number** 168590 Job Description Directs growth, performance and development of Home Care services through the day to day administration, planning, coordinating,… more
    Northwell Health (10/04/25)
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  • Director of Patient Services, Homecare RN - Hapi

    The New Jewish Home (Bronx, NY)
    …informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking, ... The New Jewish Home has a long experience delivering rehabilitation and...as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement strategies for TNJH… more
    The New Jewish Home (10/17/25)
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  • Assistant Director of Case Management

    Stony Brook University (Stony Brook, NY)
    …the following but are not limited to:** + Responsible for addressing Utilization management , denials and appeal, discharge and transition planning activities, ... Management leadership and staff functions regarding care management and utilization management activities....* Possession of license to practice as a registered nurse in New York State. * Master's degree with… more
    Stony Brook University (09/23/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with ... inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b. Documents… more
    Guthrie (08/27/25)
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  • RN/Case Manager-MSH-Case Management…

    Mount Sinai Health System (New York, NY)
    …are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using ... **Job Description** **RN/Case Manager MSH Case Management FT Days** The Case Manager (CM) will...CM works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of the interdisciplinary… more
    Mount Sinai Health System (10/14/25)
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  • Case Manager RN

    Bassett Healthcare (Cooperstown, NY)
    …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... efficient delivery of care in appropriate setting. + Completes utilization management and quality screening for assigned...Registered Professional Nurse , if applying as a nurse , required + Case Management certification, preferred… more
    Bassett Healthcare (10/03/25)
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  • Medical Director (AZ)

    Molina Healthcare (NY)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (10/17/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    …+ Two years as a Registered Nurse with at least one-year of management experience in a home health, hospice or equivalent environment. + Certified ... : On-site **Branch Location** : Westbury, NY **This is not a remote or work-from- home position. This position requires you to sit on-site at our Westbury, NY branch… more
    CenterWell (09/30/25)
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  • Supervisor, Care Management

    CDPHP (Latham, NY)
    …you to be a part of that experience. The Supervisor, Care Management (CM) shares responsibility for the evaluation, planning, implementation, coordination and ... supervision of Care Management Department operations, functions and staff in alignment with...and support for problem-solving complex cases and issues, including utilization of real-time dashboards and reports to ensure timely… more
    CDPHP (10/17/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... services provided by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and… more
    Ellis Medicine (09/11/25)
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