• RN MDS Supervisor- Clinical Reimbursement…

    Catholic Health Services (Smithtown, NY)
    …of care and ensuring compliance with regulatory standards. Key Responsibilities: Clinical Reimbursement: + Documentation: Review and analyze resident ... resident and patient, every time. Job Details Summary: The Clinical Reimbursement and Quality Management plays a vital role...of resident care services to maximize reimbursement. + Claim Review : Review and analyze submitted claims for… more
    Catholic Health Services (09/24/25)
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  • Medical Director, Clinical Services

    Highmark Health (Albany, NY)
    …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the multidisciplinary team for… more
    Highmark Health (07/29/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …and regulatory agencies. Essential Accountabilities: Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical ... Office of Professional Discipline and/or internal referral for quality review by the applicable business area. + Acts as...clinical consultants. + Serves as an internal auditor/peer reviewer for new clinical staff, as needed.… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Utilization Review Nurse I

    Centene Corporation (New York, NY)
    …**Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization. ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (10/03/25)
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  • Medical Technologist/ Clinical Laboratory…

    UHS (Norwich, NY)
    …AND CONNECTION. UHS Chenango Memorial Hospital is seeking Medical Technologists/ Clinical Laboratory Technologists, and Senior Medical Technologists who are looking ... continuing to grow and fulfill your passion as a Medical Technologist/ Clinical Laboratory Technologist or Senior Medical Technologist? Join a cohesive and… more
    UHS (10/11/25)
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  • Clinical Laboratory Technologist

    UHS (Johnson City, NY)
    …supervision of the section supervisor, performs routine and specialized tests in clinical or pathology laboratory section in a timely manner according to UHS, ... depending on experience Education/Experience Minimum Required: + Associate degree in clinical laboratory technology or equivalent (NYS Certified Clinical more
    UHS (10/10/25)
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  • Clinical Laboratory Scientist…

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Microbiology/Molecular Medical ... of the Albany VA Medical Center in Albany, NY. Functions as Clinical Laboratory Scientist (CLS) (Microbiology). CLS at this level develops, performs, evaluates,… more
    Veterans Affairs, Veterans Health Administration (10/09/25)
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  • Clinical Assistant Professor - Exercise…

    Adelphi University (Garden City, NY)
    Clinical Assistant Professor - Exercise Science Job Department/School College of Education and Health Sciences FT/PT/Temp Full time Location Garden City, NY ... Clinical Assistant Professor - Exercise Science Health and Sport...submitted through the Adelphi website only: https://www.adelphi.edu/hr/careers/ . + Review of applications will begin upon receipt of application… more
    Adelphi University (09/30/25)
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  • Registered Nurse (RN) - Clinical Decision…

    Catholic Health Services (Smithtown, NY)
    …practice to improve outcomes - to every patient, every time. The Clinical Decision Unit (CDU) Nurse is responsible for providing high-quality, patient-centered care ... to individuals admitted to the Clinical Decision Unit for short-term observation or assessment. This...with physicians, nurse practitioners, and other healthcare providers to review patient conditions, diagnostic results, and treatment plans. +… more
    Catholic Health Services (09/27/25)
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  • Medical Faculty Open Rank ( Clinical )…

    CUNY (New York, NY)
    Medical Faculty Open Rank ( Clinical ) - Tenured or Tenure-Track - MCBS/Med Ed/CHASM (REVISED) **FACULTY VACANCY ANNOUNCEMENT** The CUNY School of Medicine (CUNY MED) ... to educate our students to apply foundational sciences and clinical principles of medical practice to provide cross-cutting care...statement of scholarly interests. **CLOSING DATE** Open until filled. Review of resumes to begin on April 11, 2025.… more
    CUNY (09/27/25)
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