• Utilization Management Nurse

    CenterWell (Albany, NY)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
    CenterWell (08/02/25)
    - Related Jobs
  • Hospital Concurrent Coding Specialist

    Intermountain Health (Albany, NY)
    …expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses ( RN ) and Intermountain Physician Advisors to review ... with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US… more
    Intermountain Health (08/08/25)
    - Related Jobs
  • OBGYN Advanced Practice Provider - Midwife

    SUNY Upstate Medical University (Syracuse, NY)
    …may be required. Minimum Qualifications: Master's Degree in Nursing and NYS licensure as Nurse Midwife, certification by the ANCM; and license or eligible as a RN ... within first month of employment. Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible for Medicare more
    SUNY Upstate Medical University (06/18/25)
    - Related Jobs
  • Quality Reporting - Sunnyview Rehab Hospital

    Trinity Health (Schenectady, NY)
    …Sunnyview Rehab Hospital** If you possess a professional license in nursing ( RN ), Physical Therapy (PT), Occupational Therapy (OT), Speech Language Pathology (SLP), ... **What you will need:** + Current NY license for RN , Social Work, PT, OT or SLP or related...web based software applications. + Working knowledge of the Medicare Prospective Payment System and working knowledge of ICD-10… more
    Trinity Health (08/20/25)
    - Related Jobs
  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with the ... needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning needs +… more
    Ellis Medicine (07/25/25)
    - Related Jobs
  • CNA

    WMCHealth (Margaretville, NY)
    …condition (skin condition changes, complaints, poor intake, accidents & incidents) to the LPN/ RN as soon as possible. + Completes work timely. + Follows all policies ... + Ensures accuracy of careplan and kardex and notifies LPN/ RN when changes are required. + Effectively communicates the...care facility. We have received a 5-Star rating from Medicare 's "Nursing Home Compare" and 5-star ratings in US… more
    WMCHealth (07/25/25)
    - Related Jobs
  • Fraud & Investigations, Professional, Clinical…

    MVP Health Care (Schenectady, NY)
    …duly licensed or authorized medical professional, including but not limited to MD or RN . + New York State Nursing license required ( RN preferred). Experience in ... and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare , Medicaid, and any corporate compliance initiatives or policies. +… more
    MVP Health Care (08/25/25)
    - Related Jobs
  • LPN

    WMCHealth (Margaretville, NY)
    …Care Center, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all ... times. Responsibilities + Administrative functions: + Notifies the RN on-call, Director of Nursing, and Administrator on call...care facility. We have received a 5-Star rating from Medicare 's "Nursing Home Compare" and 5-star ratings in US… more
    WMCHealth (08/14/25)
    - Related Jobs
  • Managed Care Coordinator

    Elderwood (Waverly, NY)
    …Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The candidate is the ... as applicable and with clinical oversight provided by the LPN/ RN MDS Coordinator. Attends team meetings at the discretion...the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review.… more
    Elderwood (08/11/25)
    - Related Jobs
  • Hospice Team Manager

    Calvary Hospital (Bronx, NY)
    …admission information- data + Managers team for designated territories, including, RN 's LPN's Social Workers, Clerical Staff, Etc. + Ensure notification to ... referrers + Coordinate assessment and documentation requirements for continued Medicare /Medicaid Recertification's. + Prepare statistical reports for Corporate Compliance… more
    Calvary Hospital (06/18/25)
    - Related Jobs