• Insurance Specialist -Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
    Mount Sinai Health System (07/23/25)
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  • Insurance Specialist - Samaritan Hospital…

    Trinity Health (Troy, NY)
    …requirements for Utilization Management and works collaboratively with Utilization Management/Concurrent Review Nurse , physicians, staff and ... identification of possible concurrent denials, forwards information to the appropriate Utilization Management/Concurrent Review Nurse within identified… more
    Trinity Health (07/26/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they...the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer… more
    Molina Healthcare (08/02/25)
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  • Clinical Pharmacy Specialist - Transplant

    Northwell Health (Manhasset, NY)
    …team and provide pharmacy recommendations + Education and development of nurse , physician and pharmacy staff development pertaining to transplant and ... and research. + Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and… more
    Northwell Health (06/27/25)
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  • Licensed Psychologist OR Associate Psychologist…

    New York State Civil Service (Thiells, NY)
    …experimental psychology, research psychology, industrial psychology, organizational psychology, utilization review , guidance counseling, etc.Psychologist 2:You ... psychology, research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or… more
    New York State Civil Service (07/22/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in areas of...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/09/25)
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  • Primary Care Physician (PCP) - FT

    STG International (Auburn, NY)
    …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/02/25)
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  • Primary Care Physician (PCP)

    STG International (Dunkirk, NY)
    …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (07/02/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
    STG International (05/07/25)
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  • RN - Pediatric Endocrinology Office

    Albany Medical Center (Albany, NY)
    …Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse (RN) - Full Time Pediatric Endocrine Department Monday to Friday: 8:00am ... advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN),...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
    Albany Medical Center (06/13/25)
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