• Director of Care Coordination ( RN )

    Catholic Health Services (West Islip, NY)
    …degree required. + Master of Science degree strongly preferred. + Licensure: New York Registered Nurse ( RN ) License & Registration. + Certification: Care ... hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning… more
    Catholic Health Services (10/16/25)
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  • Registered Nurse ( RN ) Care…

    Whitney Young Health Center (Albany, NY)
    Registered Nurse ( RN ) Care Manager (Req 100984) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a part of ... principles of Patient Centered Medical Home (PCMH), the Care Manager ( RN ) will demonstrate professional nursing practice, excellent communication and critical… more
    Whitney Young Health Center (11/15/25)
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  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
    Albany Medical Center (11/03/25)
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  • Healthcare Services Auditor ( RN ) (New…

    Molina Healthcare (Bronx, NY)
    …, and/or managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... cost-effective member care. Essential Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health, and/or… more
    Molina Healthcare (11/21/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
    Molina Healthcare (11/14/25)
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  • Registered Nurse ( RN )…

    Trinity Health (Schenectady, NY)
    …to geriatrics recover from a stroke, traumatic injury or disabling illness. **Full Time Registered Nurse ( RN ) - Manager - Sunnyview​ Rehab Hospital - ... **What you will need:** + Current New York State Registered Professional Nurse licensure (The Program ...within 2 years of hire. + Previous experience in nurse management required Our compassionate staff is… more
    Trinity Health (09/17/25)
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  • Registered Nurse ( RN ) - IV…

    Catholic Health Services (Smithtown, NY)
    …interventions during critical situations and assisting with difficult IV placements. REGISTERED NURSE RESPONSIBILITIES : + Perform advanced vascular access ... - to every patient, every time. Job Details The IV Team/Rapid Response Nurse is a specialized clinical role responsible for providing expert vascular access services… more
    Catholic Health Services (10/17/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Rochester, NY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (10/26/25)
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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 (10/25/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and...required + Licensed in New York State as a Registered Nurse + For hires after 10/28/2024,… more
    Rochester Regional Health (10/24/25)
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