• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Rochester, NY)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations,… more
    Molina Healthcare (09/06/25)
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  • RN Ambulatory Per diem Outpatient Pediatric…

    Albany Medical Center (Albany, NY)
    …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), ... the RN may provide direct patient care , patient triage (in-person and telephonic), assessment, planning, directing...Registered Nursing program is required * NYS current RN licensure to practice professional nursing is required *… more
    Albany Medical Center (09/18/25)
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  • Nursing Supervisor RN

    Loretto Management Corporation (Jamesville, NY)
    …+ Ability to supervise and guide staff while carrying out the duties of an RN . + Proficient in the care planning process. + Outstanding interpersonal skills and ... Overview Now Hiring Per Diem Nursing Supervisor, RN at Loretto's Nottingham RHCF Location! TheNursing Supervisor RNmaintains quality clinical care for… more
    Loretto Management Corporation (09/18/25)
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  • Mobile Professional Care Manager…

    UPMC (Jamestown, NY)
    …Counselor (LPC), Licensed Social Worker (LSW), Licensed Mental/Behavioral Health Professional, or Registered Nurse ( RN ) + CPR certification required based ... Join our dynamic team as a Mobile Professional Care Manager , where you'll play a...services field with a master's degree, or a licensed Registered Nurse . + Minimum of 3 years… more
    UPMC (08/30/25)
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  • Ambulatory Care Manager

    WMCHealth (West Nyack, NY)
    Ambulatory Care Manager Company: Bon Secours Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange ... Applicant link Internal Applicant link Job Details: The Ambulatory Care Manager is assigned to manage a... management standards and community resources highly preferred. Education: Registered Nurse , Bachelor's degree preferred Licenses /… more
    WMCHealth (09/12/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …contact with members, providers or caregivers and reports changes in conditions to the RN Care Manager , which may require interventions. + Participate in ... Responsibilities In the role of an Social Work Care Manager , you will partner with the Registered Nurse and are a critical resource for our members… more
    Elderwood (08/16/25)
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  • Care Delivery Manager

    CenterLight Health System (Flushing, NY)
    …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be legally authorized (for example, ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...interventions to determine the effectiveness of the plan of care and the utilization of services and… more
    CenterLight Health System (09/09/25)
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  • Care Delivery Manager

    CenterLight Health System (Ridgewood, NY)
    …unrestricted license and registration in New York State required as a Registered Nurse . Language: Bilingual preferred. Physical Requirements Individuals must be ... the Virtual IDT as needed. + Serve as a manager on call during non-operational hours of the physical...interventions to determine the effectiveness of the plan of care and the utilization of services and… more
    CenterLight Health System (08/08/25)
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  • Manager , Healthcare Services

    Molina Healthcare (Buffalo, NY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... integrated) performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (09/27/25)
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  • Nurse -PT

    Outreach Development Corporation (Brentwood, NY)
    …health and/or substance abuse treatment or related setting; Outreach is seeking an experienced Registered Nurse ( RN ) to work in our adolescent residential ... nurse on site and serves as the health care coordinator. Job Scope + Conduct and/or monitor all...sexually transmitted diseases, pregnancy prevention, etc Qualifications + NYS Registered Nurse ( RN ) + Previous… more
    Outreach Development Corporation (08/11/25)
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