• RN Care Manager

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
    Humana (11/06/25)
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  • Care Manager RN -…

    Highmark Health (Albany, NY)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
    Highmark Health (10/22/25)
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  • Care Manager , Registered

    Sharecare (Albany, NY)
    … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
    Sharecare (10/08/25)
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  • RN Care Manager Complex…

    Molina Healthcare (Albany, NY)
    JOB DESCRIPTION **Job Summary** The Care Manager ( RN ) provides support for care management/ care coordination activities and collaborates with ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (10/22/25)
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  • RN Care Manager

    University of Rochester (Albany, NY)
    …and/or management experience preferred KNOWLEDGE, SKILLS AND ABILITIES LICENSES AND CERTIFICATIONS - RN - Registered Nurse - State Licensure and/or Compact ... place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United...time Scheduled Weekly Hours: 40 Department: 900398 URMC Accountable Care Network Work Shift: UR - Day (United States… more
    University of Rochester (08/21/25)
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  • Medical Review Nurse ( RN )

    Molina Healthcare (Albany, NY)
    …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
    Molina Healthcare (09/06/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (Albany, NY)
    …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager more
    Molina Healthcare (09/14/25)
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  • NICU Care Manager , Telephonic…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and ... the care and wellbeing of members. The Care Manager , Telephonic Nurse 2...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (11/06/25)
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  • NICU Care Manager , Telephonic…

    Humana (Albany, NY)
    …the appropriate courses of action. **Location:** Remote Humana is seeking a NICU Care Manager , Telephonic Nurse 2 who will collaborate with other health ... community and help us put health first** The NICU Care Manager , Telephonic Nurse 2,...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3… more
    Humana (11/06/25)
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  • Care Manager

    LIFEPlan CCO NY (Clifton Park, NY)
    Care Manager Job Details Level Experienced Job...years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, ... Hourly Travel Percentage Up to 50% Job Summary: The Care Manager provides services within the ...for more than one hour. This is not a remote position. This is a flexible work environment position… more
    LIFEPlan CCO NY (09/28/25)
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  • Disease Management Nurse - Remote

    Sharecare (Albany, NY)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
    Sharecare (10/22/25)
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  • Telephonic Nurse Case Manager

    Humana (Albany, NY)
    …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
    Humana (11/06/25)
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  • Transplant Care Nurse

    Highmark Health (Albany, NY)
    …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
    Highmark Health (11/06/25)
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  • Manager , Fraud & Waste Investigation…

    Humana (Albany, NY)
    …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
    Humana (11/04/25)
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  • Case Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    Manager , assists with maintaining consistent follow-up with primary care providers/medical specialty physicians, non-physician health care providers and ... $100,908.37 We have an exciting opportunity for a Case Manager to join our multidisciplinary Team at the Albany...a significant regional impact on delivering high quality specialized care for patients with Alzheimer's disease and other related… more
    Albany Medical Center (10/04/25)
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  • Telephonic Case Manager

    Sedgwick (Albany, NY)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
    Sedgwick (11/05/25)
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  • Field Case Manager -Sign-On Bonus Eligible

    Sedgwick (Albany, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
    Sedgwick (08/27/25)
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  • Medical Assistant Musculoskeletal Team

    Intermountain Health (Albany, NY)
    …in your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager , and more! + **Intermountain offers ... **Job Description:** A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients… more
    Intermountain Health (11/05/25)
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  • Temporary Behavioral Health Utilization Specialist

    CDPHP (Latham, NY)
    …seamless transition of care for CDPHP members through collaboration with the Outpatient Care Manager whose role it is to follow our member in the community ... The BH Utilization Specialist is responsible for coordination of care for CDPHP members across the continuum, beginning with...is required) + In lieu of behavioral health license, Registered Nurse with valid New York State… more
    CDPHP (10/16/25)
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  • CDI Auditor

    Albany Medical Center (Albany, NY)
    …providers, and medical coding staff to improve quality and completeness of documentation of care provided and coded. 5. Educating members of the patient care ... staff to improve quality and completeness of documentation of care provided and coded. 5. Educating members of the...planning + Collaborates with the CDI Director and CDI Manager in continuously developing AHIMA approved curriculum + Works… more
    Albany Medical Center (11/06/25)
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