• University of Vermont Health - Champlain Valley Physicians… (Plattsburgh, NY)
    …of an acceptable outcome. QUALIFICATIONS: 1. Current New York State Registered Nurse license required. 2. CCM Preferred. Utilization review and discharge ... https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions PandoLogic. Keywords: Utilization Review Nurse , Location: Plattsburgh, NY -… more
    job goal (12/01/25)
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  • Rochester Regional Health (Canandaigua, NY)
    …Telemetry Unit, an 18-bed unit specializing in cardiac care and stroke management . With a 1:4 nurse -to-patient ratio, we provide personalized, high-quality ... Job Title: Registered Nurse (RN) - Med Surg Department: Med Surg...documentation appropriately. * Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more
    job goal (12/03/25)
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  • Rochester Regional Health (Henrietta, NY)
    Job Title: Registered Nurse I Department: Orthopedic Surgery Location: RGH Hours Per Week: Full Time/36 hours per week Schedule: Straight Shift- Days. Every other ... weekend/holidays. Sign-On Bonus: $15,000 SUMMARY : As a Registered Nurse (RN), you're the engine and the heart of...on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit… more
    job goal (12/03/25)
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  • Patient Care (Terryville, NY)
    …the demands of our patients. * Adheres to and participates in the agency's utilization management model. License Requirements * Current RN licensure in state of ... We are hiring for a PRN Registered Nurse RN to join our Home Health team...a home for your career here. As a Registered Nurse with us, you can expect: * flexibility for… more
    job goal (12/03/25)
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  • Yale New Haven Health (Clayville, NY)
    …Responsibilities 1. Clinical Care 1.1 The Certified Registered Nurse Anesthetist (CRNA) implements accurate, safe, patient centric anesthetic ... and pulse oximetry during anesthesia according to ASA guidelines. 3. Information Management 3.1 The CRNA ensures appropriate documentation within the accordance of… more
    job goal (12/02/25)
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  • MVP Health Care (Tarrytown, NY)
    …use) with children and/or adolescents, with at least 2 years being ASD related Utilization or Case Management experience in a managed care organization is ... Workplace . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. This… more
    Appcast IO CPA (11/17/25)
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  • MVP Health Care (Rochester, NY)
    …in every interaction Your key responsibilities: Utilize the essentials of an integrated utilization management and case management model that includes ... York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months… more
    Appcast IO CPA (10/15/25)
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  • Stony Brook University (Stony Brook, NY)
    …our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not limited to:** + Completes ... Utilization review screen for inpatient and observation cases. Activity...assigned. Identifies, follows and documents Avoidable delays in Care Management Program. Reviews and documents on patients who were… more
    DirectEmployers Association (10/23/25)
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  • Stony Brook University (Stony Brook, NY)
    …as a healthcare provider in the state of New York (eg, physician, nurse practitioner, or registered physician assistant or equivalent). Five (5) years of full ... developing educational materials, and implementing best practices to enhance EMR utilization . Through collaboration with the CRAFT team, the Director continuously… more
    DirectEmployers Association (11/22/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
    CenterWell (11/22/25)
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