• (RN) Registered Nurse Coding Auditor

    Northwell Health (Garden City, NY)
    …HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Remote position Job Responsibility 1.Leverages clinical expertise ... and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.… more
    Northwell Health (01/10/26)
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  • Senior Auditor , Delegation Oversight

    Molina Healthcare (NY)
    …Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit ... Specialists (CMAS), Certified Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in state of practice. To all current Molina employees: If you are interested in… more
    Molina Healthcare (12/17/25)
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  • Case Manager, RN (Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
    Excellus BlueCross BlueShield (01/13/26)
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  • Quality Professional - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    …Days Department: QUALITY IMPROVEMENT Job Summary The Quality Professional is a Registered Nurse with clinical experience in Med/Surg, Critical Care and other ... information to the appropriate leaders. + Participation as an Internal Auditor monitoring processes throughout the organizatio + Participation in Clinical more
    Mohawk Valley Health System (12/10/25)
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