• MVP Health Care (Schenectady, NY)
    …in New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 ... continuous improvement. To achieve this, we're looking for a Case Manager , Medicaid Long Term Support Program... complex Medicaid members. Through collaborative efforts the Case Manager will identify the medical and… more
    Appcast IO CPA (10/15/25)
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  • Complex Case Manager

    Highmark Health (Albany, NY)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (10/28/25)
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  • Registered Nurse ( RN ) Care…

    Whitney Young Health Center (Albany, NY)
    Registered Nurse ( RN ) Care Manager (Req 100984) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a part ... to intermediate proficiency with computer use; BLS Certification Preferred Qualifications: Case Manager (CM) certification. Flexibility to adjust to schedule… more
    Whitney Young Health Center (08/16/25)
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  • Case Manager , Registered

    CVS Health (Albany, NY)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (10/15/25)
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  • Care Manager , Registered

    Sharecare (Albany, NY)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (10/08/25)
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  • RN Case Manager field care…

    Molina Healthcare (Albany, NY)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (10/29/25)
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  • RN Care Manager Complex

    Molina Healthcare (Albany, NY)
    …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Manager ( RN ) provides support for care...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
    Molina Healthcare (10/22/25)
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  • Telephonic Nurse Case Manager

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
    Humana (10/23/25)
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  • RN Carceral Care Manager Remote

    Molina Healthcare (Albany, NY)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (10/09/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Schenectady, NY)
    …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program**...complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
    MVP Health Care (10/15/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works ... quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay...and accurately in medical record + Identifies patients with complex discharge planning needs and complex psychosocial… more
    Ellis Medicine (10/24/25)
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  • RN Medical Claim Review Nurse Remote

    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 ... Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
    Molina Healthcare (10/19/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Latham, NY)
    **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (10/30/25)
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  • Telephonic Case Manager

    Sedgwick (Albany, NY)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
    Sedgwick (10/22/25)
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  • Field Case Manager -Sign-On Bonus…

    Sedgwick (Albany, NY)
    …Great Place 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 for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (08/27/25)
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  • Homecare RN - Designated Area of Rensselaer…

    Trinity Health (Troy, NY)
    …are only a phone call away, and more! **Join us for a day and shadow an experienced RN Case Manager ! See why RNs who transition to home care love what they ... hour shifts!** + **Three 12 hour shifts!** Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for...has a rewarding opportunity for a full time Specialty RN to join our team caring for patients in… more
    Trinity Health (09/06/25)
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  • Transition of Care Coach ( RN ) (Pacific…

    Molina Healthcare (Albany, NY)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
    Molina Healthcare (09/14/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Albany, NY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (09/06/25)
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  • Lead Trainer - Clinical Services (Remote in GA)

    Molina Healthcare (Albany, NY)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's… more
    Molina Healthcare (10/30/25)
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  • **Care Manager Hiring Event** Onsite…

    LIFEPlan CCO NY (Clifton Park, NY)
    …Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master's degree with ... **CARE MANAGER HIRING EVENT** ONSITE INTERVIEWS** CLIFTON PARK -...be the trusted partner for individuals and families navigating complex systems of support. You'll lead the development of… more
    LIFEPlan CCO NY (10/28/25)
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