• Vice President, Cardiology

    Evolent (Albany, NY)
    …a key clinical executive responsible for leading cardiology- and vascular-related utilization management , quality improvement, and clinical operations across ... highly desirable + 7+ years managing teams to drive performance across physician, nursing , and shared services teams + 3+ yearsworking with clinical operations in a… more
    Evolent (10/07/25)
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  • Care Coordinator

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care Coordinators facilitate ... care management and utilization review by performing data...data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regard to… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • Nurse Practitioner Mobile - Part Time

    Project Renewal, Inc. (New York, NY)
    …programs + Participates in the development and implementation of quality assurance management and utilization review + Participates in interdisciplinary meetings ... Title: Primary Care Nurse Practitioner - Part Time Program: Healthcare Department...$87,000 depending on experience Position Overview: The Primary Care Nurse Practitioner working in Mobile Health is responsible for… more
    Project Renewal, Inc. (10/07/25)
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  • Clinical Dietician - Part Time - Samaritan…

    Trinity Health (Troy, NY)
    …+ Direction of food service staff as needed. + Electronic Menu system utilization and management . + Participation in food and nutrition management ... colleague in this role will be responsible for the following: + Nutrition management of all patients in assigned areas, involving nutritional assessment and care… more
    Trinity Health (09/05/25)
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  • Mental Health Program Specialist 2, Central…

    New York State Civil Service (Albany, NY)
    …and initiatives. Gather and analyze information related to program operations, service utilization and management , fiscal and human resources, and/or clinical ... - G 23 position in the Division of Community Program Policy & Management , Adult Community Care Group, Bureau of Rehabilitation Services, Treatment & Care… more
    New York State Civil Service (10/03/25)
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  • Consultant, Nurse Disability I

    Lincoln Financial (Albany, NY)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information...we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current,… more
    Lincoln Financial (10/01/25)
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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, ... all clinical operations, performance improvement activities, training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP,… more
    The New Jewish Home (09/24/25)
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  • RN Case Manager - Case Management - Full…

    Guthrie (Corning, NY)
    … (BSN) or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5) years relevant experience willing to pursue a ... and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates… more
    Guthrie (09/23/25)
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  • Director of Nursing Professional Practice,…

    Mount Sinai Health System (New York, NY)
    …the Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators ... **Job Description** The Director of Nursing Professional Practice is a professional nurse...skill in the professional practice standards, NYS regulations in nursing , emergency management , labor contracts, and regulations… more
    Mount Sinai Health System (07/15/25)
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  • Nurse Practitioner-Cardiothoracic- Mount…

    Mount Sinai Health System (New York, NY)
    …or appropriately credentialed designee. + Ability to interpret and apply principles of nursing research utilization . + Ability to manage and coordinate a patient ... **Job Description** **Job Title : Nurse Practitioner- Cardiothoracic- Mount Sinai Hospital - Full...designee. + Ability to interpret and apply principles of nursing research utilization . + Ability to manage… more
    Mount Sinai Health System (08/03/25)
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