• Case Manager , RN

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Job Description: Summary: Conducts case management program activities in accordance with departmental,...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Registered Nurse - Care…

    Mohawk Valley Health System (Utica, NY)
    Registered Nurse - Care manager - Full Time - Days Department: CARE MGMT SVCS Job Summary The Care Manager is responsible for completing a comprehensive ... effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal...and currently registered to practice as a Registered Professional Nurse or BSN in New… more
    Mohawk Valley Health System (10/30/25)
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  • Registered Nurse 2 (Community)

    New York State Civil Service (Corinth, NY)
    NY HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse 2 (Community) Occupational Category Health Care, Human/Social ... team members to promote optimal health outcomes. The Nursing Case Manager also serves as a liaison...must possess a license and current registration as a registered professional nurse in New York State;… more
    New York State Civil Service (11/14/25)
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  • Registered Nurse 1

    New York State Civil Service (Corinth, NY)
    NY HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse 1 Occupational Category Health Care, Human/Social Services Salary ... team members to promote optimal health outcomes. The Nursing Case Manager also serves as a liaison...have a license and a current registration as a registered professional nurse in New York State.… more
    New York State Civil Service (11/14/25)
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  • Case Manager ( RN )

    WMCHealth (Suffern, NY)
    Case Manager ( RN ) Company: Good...licensure in the State of New York as a Registered Nurse . Understanding of Medicare /Medicaid criteria ... Now External Applicant link Internal Applicant link Job Details: Summary: The Case Manager ( RN ) is responsible for implementing and supervising the… more
    WMCHealth (11/06/25)
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  • Chmc - RN Case Manager

    Claxton-Hepburn Medical Center (Ogdensburg, NY)
    CHMC- Case Management- RN Case Manager - Per Diem- Various Shift - Req 9133 Pay Range: $37.63-$49.86* Job Summary: An RN Case Manager ... related to the management of patient care across the continuum. Qualifications: + Registered Nurse with valid NYS licensure and current registration. + Two… more
    Claxton-Hepburn Medical Center (11/15/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    RN Case Manager **Position Summary**...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN ... At Stony Brook Medicine, a ** RN Case Manager ** is a valuable member of...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
    Stony Brook University (10/23/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Westbury, NY branch location.** The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (09/30/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Albany, NY)
    …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare ,… more
    Humana (11/19/25)
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  • Care Manager - RN

    Rochester Regional Health (Rochester, NY)
    SUMMARY As a Registered Nurse - Care Manager , your excellent interpersonal, leadership and collaboration skills ensure the appropriate allocation of hospital ... ATTRIBUTES + Three (3) years of acute hospital care, case management or utilization management experience preferred + Excellent...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (11/24/25)
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  • Case Manager - AOMC

    Arnot Health (Elmira, NY)
    Job Description CASE MANAGER - Up to $10,000 Sign on Bonus...registered nursing program with a current license as a registered nurse . BSN or Case ... Managers! **This is an onsite position. MAIN FUNCTION: The Case Manager coordinates, negotiates , procures services...admission and stay in accordance with InterQual. . Prepares Medicare /Non Medicare hospital notices of no coverage… more
    Arnot Health (11/06/25)
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  • Case Manager - Registered

    CDPHP (Latham, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department of… more
    CDPHP (11/25/25)
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  • Case Manager - Home Health

    Guthrie (NY)
    …Earn Up to $25,000 in Bonuses! Guthrie Home Health - New York is seeking a Full-Time Registered Nurse Case Manager to join our dedicated team serving ... Waverly, NY Guthrie Home Health is a 4-star CMS-rated Medicare -certified agency delivering skilled nursing, therapy, social work, and...Southern Tier of New York and Northern Pennsylvania. Our RN Case Managers are the heart of… more
    Guthrie (11/12/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Rochester, NY)
    …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If… more
    MVP Health Care (11/27/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    The RN Case Manager has...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or ... compassionate, efficient quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay are medically… more
    Ellis Medicine (11/26/25)
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  • RN , Clinical Manager

    HCR Home Care (Rochester, NY)
    Salary Range: $89,000.00 - $99,000.00 Annually Role and Responsibilities The Clinical Manager is an RN who supervises a potentially interdisciplinary team of RNs ... to Agency standards as well as legal/regulatory standards . + Conduct case conferences (informal, supervisory or interdisciplinary) to discuss client issues, plan of… more
    HCR Home Care (10/18/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management… more
    Molina Healthcare (11/14/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in… more
    Glengariff Rehabilitation and Healthcare Center (11/26/25)
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  • Case Manager - UM II -100%

    Healthfirst (NY)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... and case management as assigned. The Case Manager , Utilization Management is also responsible...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
    Healthfirst (11/25/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (Middletown, NY)
    case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of… more
    Elevance Health (10/04/25)
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