• Registered Nurse ( RN )…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday ... Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (08/02/25)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …This is a full-time, telework role. Schedule is Monday through Friday, 8am-5pm EST. Utilization Management is a 24/7 operation and work schedules will include ... **Required Qualifications** + 2+ years of experience as a Registered Nurse + Must have active current...or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing… more
    CVS Health (08/02/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
    CenterWell (08/02/25)
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  • Clinical UM Nurse 2

    CenterWell (Albany, NY)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
    CenterWell (08/01/25)
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  • Registered Nurse ( RN )…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse ( RN ) -...an 18-bed unit specializing in cardiac care and stroke management . With a 1:4 nurse -to-patient ratio, we ... Full Time (36 hours)Schedule: Evening/Night (6pm-6am), rotating weekends and holidays SUMMARY:As a Registered Nurse ( RN ), you're the engine and the heart… more
    Rochester Regional Health (07/25/25)
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  • Registered Nurse ( RN

    Rochester Regional Health (Rochester, NY)
    …Schedule: Straight Shift- Nights. Every other weekend/holidays. Sign-On Bonus: $15,000 SUMMARY: As a Registered Nurse ( RN ), you're the engine and the heart ... on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (07/25/25)
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  • Care Manager ( Registered Nurse

    Catholic Health Services (Port Jefferson, NY)
    … 3+ Years acute care clinical RN experience required Prior RN experience in Utilization Management , Performance Improvement, Transition Planning ... across the acute care continuum. Perform required activities for utilization management , PRI assessment and completion, transition...in a BSN program may apply Licensure: New York Registered Nurse ( RN ) License &… more
    Catholic Health Services (06/30/25)
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  • Registered Nurse ( RN )…

    Glens Falls Hospital (Glens Falls, NY)
    …per week, can be found*here*. **Job:** **Nursing - Case Management * **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options ... work closely with the Interdisciplinary Team to ensure appropriate utilization and provision of resources for patients including referrals...be determined by the level and intensity of care management to be provided. * * *The Glens Falls… more
    Glens Falls Hospital (08/08/25)
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  • Registered Nurse ( RN )

    Oneonta Job Corps (Oneonta, NY)
    …Microsoft Suite (Word, Excel, Outlook, PowerPoint.) Educational Requirements: + State Licensed Registered Nurse . + Three years' experience as a practicing ... in nurses' on-call rotation. + Function as a staff nurse as needed. + Collect data and maintain wellness...as needed. + Collect data and maintain wellness monthly Utilization Reports. + Plan, organize, and control the use… more
    Oneonta Job Corps (06/13/25)
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  • Hospital Case Manager - Registered

    MVP Health Care (Rochester, NY)
    …in New York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required with at least 4 years of recent clinical and ... Care Management experience. + Certification in Case Manager (CCM) is...confidentiality. + Ability to make independent decisions regarding resource utilization , and quality of care. + Must demonstrate understanding… more
    MVP Health Care (05/20/25)
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