• RN - Employee Health - Full Time

    Guthrie (Binghamton, NY)
    …disease cases + Ensure compliance with health and safety regulations + Provide clinical and clerical support for workplace wellness initiatives Perks & Benefits: + ... The Guthrie Clinic. Experience: 2 - 3 years of clinical experience in an equivalent setting wherein independent judgement...work with patients who receive those drugs. This includes Pharmacy staff, Hospital floor staff, and GMG clinic staff.… more
    Guthrie (11/27/25)
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  • Registered Nurse

    Health Advocates Network (Albany, NY)
    …no disciplinary actions on license. - Minimum five years of clinical experience. PREFERRED QUALIFICATIONS: -Three (3) years investigative experience. -Knowledge of ... investigations related to medical misconduct. 2. Analyze medical records and other clinical investigative materials and provide clinical opinion as part of… more
    Health Advocates Network (11/27/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Albany, NY)
    …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
    CVS Health (11/27/25)
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  • Medical Trend Analytics Manager 1

    Baylor Scott & White Health (Albany, NY)
    …and communication of analytical output that identifies cost, utilization, and clinical trends across the organization. This role supports strategic decision-making ... and Medicaid). Candidate will oversee extracting and analyzing medical and pharmacy claims data, translating output into business recommendations. This individual… more
    Baylor Scott & White Health (11/26/25)
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  • Utilization Management RN

    CenterWell (Albany, NY)
    …+ Active unrestricted Compact RN license. + A minimum of three years clinical experience. + Prior clinical experience, managed care experience, **OR** ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
    CenterWell (11/26/25)
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  • RN - Investigative

    EGA Associates (Albany, NY)
    …perform investigations related to medical misconduct. 2.Analyze medical records and other clinical investigative materials and provide clinical opinion as part ... writing. 8.Work closely with investigative staff, medical coordinators, medical experts, pharmacy consultants, attorneys, and management as part of the investigative… more
    EGA Associates (11/26/25)
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  • Registered Nurse

    Outreach Development Corporation (Brentwood, NY)
    …part time LPNs. + Work with Agency psychiatrist re client medication and pharmacy refills to insure prescriptions are filled/re-filled in a timely manner; contacting ... in a timely manner. + Communicate with program management (Director, Clinical Coordinator, and/or House Manager and advisor) all pertinent information regarding… more
    Outreach Development Corporation (11/24/25)
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  • Nurse

    Outreach Development Corporation (Brentwood, NY)
    …up as required. + Work with Agency psychiatrist re: client medication and pharmacy refills to insure prescriptions are filled/re-filled in a timely manner; assisting ... in a timely manner. + Communicate with program management (Director, Clinical Coordinator, and/or House Manager and advisor) all pertinent information regarding… more
    Outreach Development Corporation (11/24/25)
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  • Senior Practice Administrator

    Rochester Regional Health (Rochester, NY)
    …Property + Management, Information Systems, Human Resources, Corporate Communications, Pharmacy , Laboratory, Managed Care and Patient Accounting. + Ensures ... concerns itself with the monitoring and improvement of the quality of clinical services including: Monitoring performance of significant clinical aspects of… more
    Rochester Regional Health (11/24/25)
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  • Intake Coordinator-RN Lhtc/ Evenings

    Villa of Hope (Rochester, NY)
    …Manager, the Intake Coordinator-RN is a Registered Nurse who will assist in supervising Clinical Aides (as needed in absence of Lead Clinical Aide). In addition ... + Is responsible assisting in the supervision of the clinical aide team. + Oversees the intake process working...orders in accordance with written policy. + Communicates with pharmacy staff to obtain medications, conducting prior authorizations as… more
    Villa of Hope (11/22/25)
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