• Utilization Management

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... Sign-On Bonus! Schedule: Full Time: 8:00am-4:30pm, requires 6 weekends a year. Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
    Crouse Hospital (09/25/25)
    - Related Jobs
  • RN Utilization Management

    Trinity Health (Albany, NY)
    …often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme Days** If ... to accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for inpatient and outpatient services in… more
    Trinity Health (09/30/25)
    - Related Jobs
  • Utilization Management Nurse

    CVS Health (NY)
    … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
    CVS Health (10/02/25)
    - Related Jobs
  • Utilization Review Nurse

    CDPHP (Latham, NY)
    …Minimum two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
    CDPHP (09/23/25)
    - Related Jobs
  • Registered Nurse Care…

    Catholic Health (Buffalo, NY)
    …+ BSN degree or RN with BSW, BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New York State PRI & ... of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive case ...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
    Catholic Health (09/25/25)
    - Related Jobs
  • RN, Manager, Utilization Management

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
    Humana (09/28/25)
    - Related Jobs
  • Registered Nurse -Referral…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …collaborating with members of the interdisciplinary team. The Referral Coordination Team (RCT) Registered Nurse (RN) ) is responsible for executing a streamlined ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (10/01/25)
    - Related Jobs
  • Registered Nurse

    WMCHealth (Port Jervis, NY)
    Registered Nurse Company: St. Joseph's Place City/State: Port Jervis, NY Category: Nursing/Nursing Management Department: SNF-TCU Union: YES Union Name: 1199 ... - $55.73 Apply Now External Applicant link Internal Applicant link Job Details: The Registered Nurse provides professional nursing care in an assigned clinic or… more
    WMCHealth (09/12/25)
    - Related Jobs
  • Case Manager, Registered Nurse

    CVS Health (NY)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
    - Related Jobs
  • Registered Nurse

    WMCHealth (Suffern, NY)
    Registered Nurse Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Cvicu Union: YES Union Name: 1199 ... Apply Now External Applicant link Internal Applicant link Job Details: The CVICU Registered Nurse provides professional nursing care to the critical care patient… more
    WMCHealth (09/12/25)
    - Related Jobs