• Registered Nurse Case

    Northwell Health (Mount Kisco, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves as an in-patient liaison -… more
    Northwell Health (03/04/25)
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  • Nurse Case Manager

    CP Unlimited (Brewster, NY)
    Nurse Case Manager Type of Position Full time Search Location(s) Brewster, NY, Carmel, NY, Fishkill, NY, Garrison, NY, Mahopac, NY, Patterson, NY, Pawling, ... NY, Yonkers, NY Apply Now (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=45&rid=6037) Job Brief The Nurse Case Manager shall provide… more
    CP Unlimited (12/20/24)
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  • Registered Nurse RN Psych Visits FT

    Elara Caring (Stamford, CT)
    …Care, at the Right Time, in the Right Place. **Job Description:** **ID#107226** ** Registered Nurse Home Health** **Behavioral Health short visits, not skilled ... have countless ways to make a difference as a Registered Nurse Behavioral Health. Being a part...our success in the following ways: + Assesses assigned case load of behavioral health care patients and families… more
    Elara Caring (03/06/25)
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  • Registered Nurse

    CP Unlimited (Carmel, NY)
    Registered Nurse Type of Position Full...basis or as indicated. + Coordinate with the Medical Case Manager Counselors (MCMC) to ensure medical, ... NY, Yonkers, NY Apply Now (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=45&rid=6353) Job Brief The Registered Nurse shall provide health related services… more
    CP Unlimited (12/30/24)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Tarrytown, NY)
    Case Manager , Medicaid Long Term Support...New York State Licensure as a Registered Nurse required. + Certification in Case Management ... thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If you have… more
    MVP Health Care (03/04/25)
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  • Charge Nurse /Assistant Nurse

    WMCHealth (Valhalla, NY)
    Charge Nurse /Assistant Nurse Manager Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... link Job Details: Internal Posting: 1/24/25 to 2/6/25 Charge Nurse /Assistant Nurse Manager (N2) Summary:...development. License:Current license in New York State as a Registered Professional Nurse . Certified in Basic Life… more
    WMCHealth (01/24/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Yonkers, NY)
    Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM)… more
    Molina Healthcare (03/06/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Yonkers, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (02/09/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, 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. **PREFERRED EDUCATION:**… more
    Molina Healthcare (01/25/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Yonkers, NY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Remote Program Manager , HCS - RN…

    Molina Healthcare (Yonkers, NY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/04/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Yonkers, NY)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license… more
    Molina Healthcare (02/14/25)
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  • Care Manager

    LIFEPlan CCO NY (Chappaqua, NY)
    Care Manager Job Details Job Location Chappaqua - Chappaqua,...years of relevant experience, or a license as a Registered Nurse with two years of relevant ... NY Salary Range $29.00 - $31.00 Hourly Description Job Summary: The Care Manager provides services within the Care Management programs, including Health Home Care… more
    LIFEPlan CCO NY (01/15/25)
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  • Trauma Program Manager

    Northwell Health (Mount Kisco, NY)
    …of Science in Nursing required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... the Trauma Critical Care Department. Job Responsibility + Collaborates with the Nurse Executive to establish nursing care standards and evaluates staff compliance. +… more
    Northwell Health (03/14/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Yonkers, NY)
    …on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse (RN) Program and an Associate's or Bachelor's Degree in ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • RN - TX Licensure - Transition of Care Coach

    Molina Healthcare (Yonkers, NY)
    **_**For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of TEXAS._** **JOB ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) _This role is currently 100% remote_… more
    Molina Healthcare (03/09/25)
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