• Care Delivery Manager RN

    FlexStaff (White Plains, NY)
    **Req Number** 158644 Care Delivery Manager RN White Plains, NY Schedule: M-F, 8:30am to 5pm Direct Hire FlexStaff is seeking a Care Delivery Manager RN for our ... + Communicate with IDT to coordinate care based on participant needs. + Review UAS assessments for accuracy. + Investigate and address incidents, ensuring timely… more
    FlexStaff (05/16/25)
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  • Transplant Care Nurse RN - Stem…

    Highmark Health (Albany, NY)
    …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
    Highmark Health (04/25/25)
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  • RN - Albany, Myrtle Ave.Women's Health…

    Albany Medical Center (Albany, NY)
    …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), the ... or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more
    Albany Medical Center (03/25/25)
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  • RN - Nurse Manager - Outpatient…

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
    Veterans Affairs, Veterans Health Administration (05/19/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with...of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. RN or LPN… more
    Centene Corporation (05/08/25)
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  • Case Manager- Case Management

    Arnot Health (Elmira, NY)
    …an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three years ... the management of patient care. The Case Manager will review all patients for utilization management and...Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's… more
    Arnot Health (05/08/25)
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  • Care Manager

    Rochester Regional Health (Rochester, NY)
    …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Referral Program + Free Parking Job Title: Care Manager- RN Department: Social Work Location: Riedman Campus/Unity Hospital Hours...per week Schedule: M-F Days 8am-430pm SUMMARY: As a Registered Nurse - Care Manager, your excellent… more
    Rochester Regional Health (04/30/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...Certification/Licensure + Licensed in New York State as a Registered Nurse Required Years of Experience +… more
    Rochester Regional Health (04/26/25)
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  • Nurse Practitioner - Cardiovascular…

    Mount Sinai Health System (New York, NY)
    …REQUIREMENTS** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: 3. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
    Mount Sinai Health System (04/04/25)
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  • Nurse Practitioner-Critical Care - Mount…

    Mount Sinai Health System (New York, NY)
    …Additional Detail** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
    Mount Sinai Health System (05/12/25)
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