• MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in state of practice. + ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents… more
    Glengariff Rehabilitation and Healthcare Center (09/25/25)
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  • RN Unit Manager - Taylor Health

    Arnot Health (Bath, NY)
    …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... with care team and therapies. + Demonstrates effective time management , flexibility and priority setting. + Promotes and ensures...of the Long Term Care Department. + Ensures the utilization of the nursing process in maintaining quality of… more
    Arnot Health (07/28/25)
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  • LTSS Service Coordinator- RN Clinician

    Elevance Health (Buffalo, NY)
    …The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision ... and direction to non- RN clinicians participating in the member's case ...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
    Elevance Health (08/10/25)
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  • Nurse Case Manager, Per Diem

    Albany Medical Center (Albany, NY)
    …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... relevant to particular cases and selected patient care groups.* Collaborates with case management leadership to compile and report aggregate variances and… more
    Albany Medical Center (09/25/25)
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  • Mobile Professional Care Manager (Hybrid)

    UPMC (Jamestown, NY)
    …Minimum of 3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or case management . + 5 ... years of experience in community-based case management and behavioral health _preferred_ . + General knowledge...Licensed Social Worker (LSW), Licensed Mental/Behavioral Health Professional, or Registered Nurse ( RN ) + CPR… more
    UPMC (08/30/25)
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  • Supervisor of Case Management…

    Ellis Medicine (Schenectady, NY)
    + The Supervisor of Case Management and Social Work (CMSW) assists with the daily operations of the Department. This person can assist with the hiring and ... master's in social work with active Licensure + Previous UR, Discharge Planning, Case Management , or post-acute discharge planning experience. + Eligible for PRI… more
    Ellis Medicine (08/12/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
    Molina Healthcare (09/26/25)
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  • RN -Ambulatory - Urogynecology Nurse

    Albany Medical Center (Albany, NY)
    …department. + Facilitates the utilization of resources to meet patient outcomes ( case management ). + Analyzes patient care needs and utilizes a systematic ... States of America) Salary Range: $83,200.00 - $128,960.00 Urogynecology Nurse ( RN ) Division of Urogynecology within the...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more
    Albany Medical Center (09/28/25)
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  • Case Manager

    Garnet Health (Harris, NY)
    …both city and rural life, we invite to make your career home with us as a Case Manager on our Case Management team at/in Garnet Health Medical Center ... credentials, negotiated contracts, budget and internal equity) Qualifications Minimum Education: Registered Nurse with New York State Licensure or Master's… more
    Garnet Health (09/27/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Rochester, NY)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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