• Program and Quality Manager Apheresis and Blood…

    Stony Brook University (Stony Brook, NY)
    …will be performed on the donor. * The incumbent participates in and conducts blood utilization review with the direction of the Blood Bank Medical Director. The ... + New York State license to practice as a Registered Nurse * Minimum three years relevant...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
    Stony Brook University (09/23/25)
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  • Clinical Assessment Manager - Care Delivery

    CenterLight Health System (Flushing, NY)
    …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... management systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be legally authorized (for… more
    CenterLight Health System (09/09/25)
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  • Case Manager Supervisor

    Stony Brook University (Stony Brook, NY)
    …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... duties as assigned. **Qualifications** **Required Qualifications:** + NY State RN License. + BSN required. + Minimum five years...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
    Stony Brook University (09/16/25)
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  • Primary Care Physician (PCP) - PRN

    STG International (Auburn, NY)
    …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. * ... safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
    STG International (09/26/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS: BLS preferred. PHYSICAL… more
    Arnot Health (08/08/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
    STG International (07/09/25)
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  • VP Care Management Post-Acute Care Transition

    Kaleida Health (Buffalo, NY)
    …In addition to daily oversight of operations, the VP will partner with Utilization Review , Revenue Cycle, and Clinical leadership to create patient/family ... RN licensure required.** **Experience** **10 years of care management/ utilization management experience required in hospital and/or ambulatory settings. 7 years… more
    Kaleida Health (09/17/25)
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  • Licensed Practical Nurse Relief -DDA106…

    WellLife Network (South Richmond Hill, NY)
    …during inspections. 13. Ensure all work is reviewed and cosigned by an agency Registered Nurse (to be scheduled by clinical supervisor) 14. Administer TB tests. ... Licensed Practical Nurse Relief -DDA106 - On-Call Job Details Job...schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as… more
    WellLife Network (08/07/25)
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  • Manager, Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity,... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (09/27/25)
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  • Case Manager

    Garnet Health (Harris, NY)
    …of care from the hospital to home setting. Responsible for discharge planning, utilization review , team conferences and unit based rounds. At Garnet Health, ... 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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