• Care Manager- Registered Nurse

    Rochester Regional Health (Rochester, NY)
    …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... holiday every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager, your excellent...(3) years of acute hospital care, case management or utilization management experience preferred + Excellent oral and written… more
    Rochester Regional Health (12/02/25)
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  • Registered Nurse Case Manager II…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... + Practices according to Agency and community standards + Participates in utilization review and/or continuous quality improvement activities as requested. +… more
    Rochester Regional Health (09/23/25)
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  • Case Manager, Maternity ( Registered…

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Care Manager - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …establish the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare it...maintaining the quality of care. + Participates in the utilization management process using standards of care to determine… more
    Crouse Hospital (10/01/25)
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  • Respiratory Registered Nurse

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a highly motivated, flexible, organized, skilled respiratory… more
    Glengariff Rehabilitation and Healthcare Center (11/21/25)
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  • Registered Nurse - Wound Care…

    Nuvance Health (Rhinebeck, NY)
    …* US News & World Report - High performance in knee replacement * Surgical Review Corporation (SRC) - Robotic Center of Excellence * Center for Medicare and Medicaid ... the Wound Care Center. These include, but are not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing care through… more
    Nuvance Health (11/26/25)
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  • Registered Nurse Case Manager

    Northwell Health (Sleepy Hollow, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
    Northwell Health (11/26/25)
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  • Utilization Review Clinician…

    Centene Corporation (New York, NY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
    Centene Corporation (11/08/25)
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  • Supervisor, Utilization Management

    Centene Corporation (New York, NY)
    …related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... on workplace flexibility. **Must have an active New York State RN license.** **Inpatient Utilization Management** **Position Purpose:** Supervises Prior… more
    Centene Corporation (11/09/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent… more
    CenterWell (11/22/25)
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