• Registered Nurse - Pain…

    Arnot Health (Elmira, NY)
    Job Description Up to a $25,000 Sign on Bonus for qualified Registered Nurses *Terms of payment may vary based on experience* Are you ready to join an organization ... and advancement opportunities. We welcome your application. MAIN FUNCTION: The RN is a professional caregiver who assumes responsibility and accountability for… more
    Arnot Health (08/08/25)
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  • Director of Care Management - Mount Sinai…

    Mount Sinai Health System (Long Island City, NY)
    …field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions ... Description** The Director will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate… more
    Mount Sinai Health System (07/24/25)
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  • Respiratory Registered Nurse

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …days a week 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a highly motivated, flexible, organized, skilled ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… more
    Glengariff Rehabilitation and Healthcare Center (07/20/25)
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  • VP, Clinical Operations

    Molina Healthcare (Buffalo, NY)
    Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with… more
    Molina Healthcare (07/17/25)
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  • RN - MDS Nurse Assessor

    Elderwood (Lake Placid, NY)
    …with experience!) NEW:Gas Allowance Benefit for Full-time and Part-time positions Are you a Registered Nurse ( RN ) with Medicare experience? Do you consider ... Salary $74,000 to $96,525 / year Overview RN - MDS Nurse Assessor Pay...Federal, State, and facility policies + Actively participate in utilization management processes, including PDPM and state… more
    Elderwood (07/08/25)
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  • Nurse Case Manager - Part Time, Days

    Nuvance Health (Poughkeepsie, NY)
    …preferred. Must have current RN license. Preferred experience in Utilization Review/ Management .Company: Vassar Brothers Medical Center Org Unit: 1190 ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
    Nuvance Health (07/19/25)
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  • RN Case Manager PC/FM

    Highland Hospital (Rochester, NY)
    RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... **17021BR** **Title:** RN Case Manager PC/FM **Department/Cost Center:** 679 -...nursing experience. Ambulatory care experience in community health, care management , disease management , quality improvement and/or … more
    Highland Hospital (07/25/25)
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  • RN Case Manager (Hospital)

    Highland Hospital (Rochester, NY)
    …planning to achieve timely and safe discharge and/or to coordinate access and utilization management , proactive patient management , care facilitation and ... **16913BR** **Title:** RN Case Manager (Hospital) **Department/Cost Center:** 771 -...nursing experience. Progressive clinical experience including community health, care management , and/or disease management is preferred. 2.… more
    Highland Hospital (06/28/25)
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  • Medical Director, Children's Services (SafetyNet…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + Leads ... rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff working with the children's population.… more
    Excellus BlueCross BlueShield (08/09/25)
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  • Nurse Care Manager - Trinsic

    Intermountain Health (Albany, NY)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care.… more
    Intermountain Health (08/08/25)
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