• Case Manager, Maternity (RN or LMSW)

    Excellus BlueCross BlueShield (Rochester, NY)
    …consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Health Home Care Coordinator I

    Catholic Health (Buffalo, NY)
    …Coordinator I will be responsible for the following outcomes: reduce utilization associated with avoidable and preventable inpatient stays, reduce utilization ... conditions. Responsibilities: EDUCATION + Licensure and current registration as a Licensed Practical Nurse in the State of New York required. + OR + Associates… more
    Catholic Health (11/25/25)
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  • Compressor Airfoils Flight Deck Lean Leader

    GE Aerospace (Schenectady, NY)
    …of Lean principles. + Partner, develop and execute standard **Capacity Utilization ** process in partnership with the local Operations, Lean and Industrial ... Engineering Leaders. + **Improve labor and machine utilization ** by studying work methods, layout and equipment modifications,...drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Aerospace (11/25/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …has been denied. Conducts interdepartmental meetings related to the quality and utilization of clinical services. Serves on various Hospital committees as assigned. ... QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years of management… more
    Calvary Hospital (11/19/25)
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  • Payment Integrity Clinician

    Highmark Health (Albany, NY)
    …itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education ... education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment and… more
    Highmark Health (11/14/25)
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  • Case Manager - AOMC

    Arnot Health (Elmira, NY)
    …of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload will ... The Case Manager tracks and trends LOS , resource utilization , outliers, readmissions , denials , delay days...nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE:… more
    Arnot Health (11/06/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from ... patients who were readmitted within thirty days. Documents over utilization of resources and services. + All Medicare cases...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN license… more
    Stony Brook University (10/23/25)
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  • Vice Chair of Clinical Operations - Emergency…

    Mount Sinai Health System (New York, NY)
    …Service Line has almost 240 faculty, more than 100 physician assistants and nurse practitioners, and treat more than 600K patients annually. The Department is ranked ... of stay, discharge processes, transitions of care, and resource utilization . **Program Development & Performance Optimization** + Conduct comprehensive assessments… more
    Mount Sinai Health System (10/18/25)
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  • Key Account Manager - Cardiovascular - Long Island

    Amgen (New York, NY)
    …formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products; works with other sales colleagues to lead ... Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based… more
    Amgen (10/12/25)
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  • Procedural RN, OBGYN Outpatient Clinic

    Albany Medical Center (Albany, NY)
    …and other needed care. Under the Supervision of the Nursing Supervisor and/or Nurse Manager, the RN provides nursing support to primary and subspecialty providers. ... and quality documentation as required by the department. * Facilitates the utilization of resources to meet patient outcomes (case management). * Provides… more
    Albany Medical Center (12/31/25)
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