• RN

    Catholic Health Services (Melville, NY)
    Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides clinical ... leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment to providing the...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… more
    Catholic Health Services (06/18/25)
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  • Medical Director

    Molina Healthcare (Buffalo, NY)
    …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience… more
    Molina Healthcare (07/25/25)
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  • PRN - Virtual Physician Collaborator (Remote)

    CenterWell (Albany, NY)
    …as possible. **Responsibilities:** . Act as a collaborating physician for nurse practitioners or physician assistants, including completing regular chart review ... . Meet with clinic leaders about quality of care, review of outcome data, policy, procedure, and records issues....Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality indicators . Experience working in value-based care… more
    CenterWell (07/19/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. ... Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and… more
    Excellus BlueCross BlueShield (06/27/25)
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