• 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 (03/13/25)
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  • Registered Nurse ( RN ) Care…

    Whitney Young Health Center (Albany, NY)
    Registered Nurse ( RN ) Care Manager (Req 100826) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description GENERAL ... Patient Centered Medical Home (PCMH), the Registered Nurse Care Manager ( RN ) at...intermediate proficiency with computer use; BLS Certification Preferred Qualifications: Case Manager (CM) certification. Flexibility to adjust… more
    Whitney Young Health Center (03/08/25)
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  • Manager , Utilization Management…

    Humana (Albany, NY)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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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 (02/17/25)
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  • Registered Nurse - Assistant…

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    Summary The Albany VA is looking to fill (1) Registered Nurse - Assistant Nurse Manager position in our Operating Room service. Responsibilities The ... Assistant Nurse Manager (ANM) supports the Nurse...level degree in Nursing may have opportunity to become registered as a nurse with a state licensing… more
    Veterans Affairs, Veterans Health Administration (03/15/25)
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  • Case Manager , RN

    CAI (Albany, NY)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • Nurse Case Manager - Full…

    Albany Medical Center (Albany, NY)
    …Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...strategies for variance reduction. Qualifications and Ideal Characteristics 1. Registered nurse with a current license. 2.… more
    Albany Medical Center (03/08/25)
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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 ... Case Manager , Medicaid Long Term Support... Case Manager , Medicaid Long Term Support Program 625 State...complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
    MVP Health Care (03/04/25)
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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 (03/14/25)
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  • Nurse Case Manager I

    Elevance Health (Latham, NY)
    ** Nurse Case Manager I** **Location:** NY-LATHAM, 15 PLAZA DR **Although this position is virtual, Our Ideal candidate will live within a 50-mile radius and ... evening shift until 8:00 pm will be required. The ** Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (03/15/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Latham, NY)
    **Telephonic Nurse Case Manager I** **Location:** This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
    Elevance Health (03/13/25)
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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 (01/16/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Albany, NY)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Sr. Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Albany, NY)
    …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The Sr. Field Reimbursement Manager - HIV Prevention (Sr. FRM) plays a critical role in enhancing… more
    Gilead Sciences, Inc. (03/08/25)
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  • Medical Management Nurse

    Elevance Health (Latham, NY)
    …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more
    Elevance Health (03/13/25)
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