• Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
    Helio Health Inc. (09/30/25)
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  • Case Manager ( Inpatient

    Ellis Medicine (Schenectady, NY)
    …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
    Ellis Medicine (09/11/25)
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  • Social Worker - Inpatient Behavioral Health

    Garnet Health (Harris, NY)
    …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… more
    Garnet Health (08/26/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...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/ Case Manager -MSH- Case

    Mount Sinai Health System (New York, NY)
    …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years ... **Job Description** **RN/ Case Manager MSH Case ...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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  • Case Manager - Part Time Temporary

    Stony Brook University (Stony Brook, NY)
    Case Manager - Part Time Temporary **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of our team, ... high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation… more
    Stony Brook University (09/19/25)
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  • Case Manager Supervisor

    Stony Brook University (Stony Brook, NY)
    Case Manager Supervisor **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/Supervisor Case Manager ** is a valuable member of our team, ... standard of excellence. **Duties of a TH Staff Associate/Supervising Case Manager in the Care Management Department...staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex… more
    Stony Brook University (09/16/25)
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  • Manager , Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …following activities: care review/ utilization management (prior authorizations, inpatient /outpatient medical necessity, etc.), case management, transition of ... experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
    Molina Healthcare (09/27/25)
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  • Health Home Care Manager

    Gateway Hudson Valley (Kingston, NY)
    …Management team in Ulster County. + Participate in county-wide care management trainings, case reviews, and utilization reviews. + Participate in treatment team ... Health Home Care Manager Job Details Job Location Corporate Headquarters -...with care + Facilitate smooth transitions in care, including inpatient admissions, discharge and transfer between providers + Assist… more
    Gateway Hudson Valley (09/16/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    …Documents the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. * Help connect the patient ... Care Manager - Readmission Specialist **_Position Summary_** _At Stony...Utilization Management * Understand levels of care including Inpatient , Observation, ED and Outpatient * Understand the importance… more
    Stony Brook University (07/15/25)
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