• Registered Nurse

    City of New York (New York, NY)
    …required; make professional recommendations accordingly. - Keep abreast of medical and utilization review techniques and developments relative to the nursing ... Nurse in the Bureau of Medical and Professional Review (BMPR) of Home Care Services Program. As the...- 50935 Qualifications 1. A valid New York State Registered Nurse License and completion of one… more
    City of New York (09/27/25)
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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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  • Assistant Director of Case Management

    Stony Brook University (Stony Brook, NY)
    …development, implementation and monitoring of the organizations case management and utilization review functions. + Manages daily operations, which includes ... of resources, coordination of care across the continuum, utilization review , discharge and transition planning and...Qualifications:** * Possession of license to practice as a registered nurse in New York State. *… more
    Stony Brook University (09/23/25)
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  • Registered Nurse Care Management…

    Catholic Health (Buffalo, NY)
    …(2) years acute care RN experience required + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease ... Rotation Hours: 7:30am to 5:30pm/8:00am to 6:00pm Summary: The RN Care Manager, Transition of Care, as an active...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
    Catholic Health (09/25/25)
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  • Registered Nurse Care Manager…

    Catholic Health (Kenmore, NY)
    …Yes Work Schedule: Days with Weekend and Holiday Rotation Hours: 0800-1800 Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an active ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of… more
    Catholic Health (09/03/25)
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  • RN /Case Manager-MSH-Case…

    Mount Sinai Health System (New York, NY)
    …+ Experience Requirements + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** ** RN /Case Manager MSH Case Management PT Days** The...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management… more
    Mount Sinai Health System (09/23/25)
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  • Registered Nurse - OASAS

    Catholic Charities Family Community Services (Newark, NY)
    …in Nursing preferred. **Credentials:** Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required **Experience:** At ... ** Registered Nurse - OASAS** **Job Details**...as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation… more
    Catholic Charities Family Community Services (08/09/25)
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  • Registered Nurse - SCHI Triage

    Rochester Regional Health (Rochester, NY)
    …and was named among the top 10% in the nation for cardiology services. SUMMARY: As a Registered Nurse ( RN ), you're the engine and the heart of patient care ... Support (BLS) certification PREFERRED QUALIFICATIONS + Acute care, chart review , utilization , or nursing triage experience strongly...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (08/14/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review , and payer knowledge. A Case… more
    Guthrie (08/27/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (09/30/25)
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