• Clinical Reviewer, Nurse -Surgery

    Evolent (Albany, NY)
    …are applied appropriately. **Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing (Must be ... a Registered Nurse ) + Strong interpersonal and communication...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/19/25)
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  • Licensed Practical Nurse (NY Helps),…

    New York State Civil Service (Queens Village, NY)
    …individuals with serious mental illness. LPNs at CPC, under the direction of a Registered Nurse are: * Assisting RNs in implementing patient care* Maintaining a ... NY HELP Yes Agency Mental Health, Office of Title Licensed Practical Nurse (NY HELPS), Creedmoor Psychiatric Center, Outpatient, P26814 Occupational Category Health… more
    New York State Civil Service (08/22/25)
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  • Assistant Director of Nursing 1 Psychiatric (NY…

    New York State Civil Service (Albany, NY)
    …consists of candidates who have 1 year of permanent service as a Registered Nurse Supervisor 1 Psychiatric. Additional Comments All OMH employees receive ... if they have:* License and current registration as a registered professional nurse in New York State;...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
    New York State Civil Service (07/30/25)
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  • Clinical Review Nurse - Prior Authorization

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure required Pay Range: ... and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management...processes preferred. NYS RN License Required… more
    Centene Corporation (08/24/25)
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  • Licensed Practical Nurse

    KPH Healthcare Services, Inc. (Camden, NY)
    …patients. The LPN delivers care to patients/customers as delegated by the Registered Nurse . **Responsibilities** **Job Duties:** + Provides professional nursing ... practice act and under the direction of a Registered Nurse . + Provides exceptional patient communication,...or assistance with areas of + Stays current on Medicare guidelines for billing and dispensing as well as… more
    KPH Healthcare Services, Inc. (08/10/25)
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  • Community Health LPN

    Rochester Regional Health (Rochester, NY)
    …Certified Home Health Agency (CHHA) clients under the direction of a Registered Nurse and in compliance with Medicare , Medicaid, and NYS Department of Health ... signs and symptoms, and reporting health status changes to the supervising Registered Nurse . + Accurately completes timely documentation in accordance with… more
    Rochester Regional Health (08/08/25)
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  • Nurse Practitioner/Physician…

    SUNY Upstate Medical University (Syracuse, NY)
    …Qualifications: NYS licensed/ registered NP or PA required. Master's Degree as a Nurse Practitioner, with a Registered Nurse First Assist (RNFA) ... to the clinical practice also required. NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for Medicare more
    SUNY Upstate Medical University (08/14/25)
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  • MDS Coordinator

    WMCHealth (Warwick, NY)
    …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... Apply Now External Applicant link Internal Applicant link Job Details: The MDS Nurse provides leadership and clinical assistance to all facility personnel to ensure… more
    WMCHealth (06/13/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... and 2 - 4 years of related experience. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred.… more
    Centene Corporation (08/21/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …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 as you are ... or caregivers and reports changes in conditions to the RN Care Manager, which may require interventions. + Participate...transportation + Must be in good standing with the Medicare and Medicaid programs. + Must be free of… more
    Elderwood (08/16/25)
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