• Case Manager - RN

    Calvary Hospital (Bronx, NY)
    …unencumbered NYS licensure. + Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk Management , and/or ... Spending, Transit Check. + Free On-Site Parking Requirements Participates in the Utilization Review, Discharge Planning, Risk Management , and Quality Assessment… more
    Calvary Hospital (09/11/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... quality multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via… more
    Stony Brook University (07/15/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Latham, NY)
    …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
    Elevance Health (09/11/25)
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  • Health Home Care Manager

    University of Rochester (Rochester, 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 (09/06/25)
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  • RN, Clinical Care, Prim Care

    University of Rochester (Rochester, NY)
    …considerations._ **Responsibilities:** GENERAL PURPOSE Integrates and coordinates access and utilization management , proactive patient management , care ... for medically complex patients, and identifying barriers to successful care management . **This position will cover practices in Genesee County.** **ESSENTIAL… more
    University of Rochester (10/06/25)
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  • RN Patient Logistics - M-F FT @St Peters Hospital

    Trinity Health (Albany, NY)
    …a flexible day schedule **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management certification ... an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team...grow into this wonderful opportunity to progress in their nursing career. We at St. Peter's Health Partners recognize… more
    Trinity Health (10/02/25)
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  • Case Manager at St Peters Hospital - All Shifts…

    Trinity Health (Albany, NY)
    …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... Engage the patient and care team in the joint management of key patient outcomes such as management...valid NYS RN license + Bachelor of Science in nursing , or willingness to purse defined plan for matriculation… more
    Trinity Health (07/18/25)
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  • RN OB Case Manager

    Highland Hospital (Rochester, NY)
    …the OB RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... in NYS. BSN preferred. Experience: Three to five years of professional nursing experience. Outpatient OBGYN nursing experience preferred. Progressive clinical… more
    Highland Hospital (09/16/25)
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  • Supv, Assistant Nurse Manager…

    Guthrie (Binghamton, NY)
    …State of Pennsylvania/New York. Certification within area of expertise or practice preferred ( Nursing Management , CCRN, CEN, etc.) BSN required within 3 years of ... hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: RESOURCE UTILIZATION : + Considers… more
    Guthrie (09/04/25)
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  • Accreditation Program Manager - NCQA SME

    Molina Healthcare (Yonkers, NY)
    …with NCQA file review standards and surveyor interactions. + Experience with conducting Utilization Management and Population Health Management file audits, ... system analysis and program staff. These positions' primary focus is project/program management . **Job Duties** **Program Oversight & Project Management ** +… more
    Molina Healthcare (09/08/25)
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