Nurse Case Manager, Utilization & Care Coordination

A healthcare organization in New York, NY is seeking a Clinical Care Manager responsible for coordinating and managing service delivery in an integrated case management approach. The ideal candidate will have a Bachelor's degree, a valid RN license in New York, and at least five years of related experience. Strong communication and problem-solving skills are essential, alongside proficiency in Utilization Management criteria. This role includes conducting medical necessity reviews and maintaining compliance with state regulations.