• Clinical Review Clinician - Appeals

    Centene Corporation (New York, NY)
    …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable… more
    Centene Corporation (08/21/25)
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  • Clinical Simulation Educator Active Learning…

    Bassett Healthcare (Cooperstown, NY)
    …to meet desired outcomes, in consultation with clinical leaders and nurse educators. Demonstrates knowledge of curriculum development including identifying program ... use of multiple effective teaching-learning methods, such as: lecture, case -study presentations, group learning activities, role-play, high-fidelity simulation scenarios,… more
    Bassett Healthcare (07/16/25)
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  • Centralized Prescription LPN - Adirondack…

    Glens Falls Hospital (Queensbury, NY)
    *The Impact You Can Make * *Team Impact* Utilizing the nursing process, the centralized prescription refill nurse provides prescription related medication ... You Will Fulfill Your Potential* *Responsibilities* * **Uses the nursing process to collect and document information in the...patient centered and evidenced based * Participates in inbox management with other members of the care team for… more
    Glens Falls Hospital (06/12/25)
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  • RN Resident General, Urology & Colorectal Surgery…

    Trinity Health (Syracuse, NY)
    …to discharge. + Utilize clinical knowledge, critical thinking skills & the principles of case management & adult education to coordinate, implement & support the ... surgeons' offices or the Emergency Department (ED). Patient care involves management of drains, wounds, wound vacs, G-tubes, J-tubes, ostomies, urostomies,… more
    Trinity Health (07/29/25)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …practitioners and the department managers for Revenue Integrity, Coding and Data Quality, Case Management and Health Information Management . + Develops the ... knowledge, including: MDs or international physicians; physician assistants; or, Nurse Practitioners. PREFERRED QUALIFICATIONS + Management /supervisory experience… more
    Rochester Regional Health (07/04/25)
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  • Home Health RN-Bronx-FlexStaff

    FlexStaff (Bronx, NY)
    …routine home visits to deliver clinical services, including: - Wound care management and dressing changes - Medication administration and reconciliation - General ... health and functional assessments as directed - Provide nursing care in accordance with the individualized care plan,...patient needs. - Educate patients and caregivers on condition management , medication adherence, wound care, and safety in the… more
    FlexStaff (07/16/25)
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  • Director, Care Coordination

    Northwell Health (Mount Kisco, NY)
    …Description Directs, plans, implements and evaluates all activities of the inpatient RN Case Management and Social Work Services team. Develops processes to ... discharge back to the community. Job Responsibility 1.Leads RN case management and social work services team...are not essential functions. Job Qualification *Master's Degree in Nursing or related field required, or equivalent combination of… more
    Northwell Health (08/21/25)
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  • Transitions of Care (TOC) RN Care Manager

    Somatus (Syracuse, NY)
    …notice._ Qualifications + Bachelor's degree in nursing preferred. + 3-5 years of nursing experience in case management or care management , preferably ... the continuum of care, spanning settings such as the home, hospital, skilled nursing facility, and acute care facility. + Manage patients during periods of… more
    Somatus (08/16/25)
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  • Entitlements Specialist

    Project Renewal, Inc. (Bronx, NY)
    …with mental illness and/or substance abuse. Our comprehensive services include case management , individual and group counseling, recreational activities, and ... are provided Monday through Friday, staffed by a psychiatrist, nurse practitioner, registered nurse , and a licensed...staff meetings to coordinate services. + Work closely with Case Management team and Clinical Director to… more
    Project Renewal, Inc. (06/03/25)
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  • Clinical Documentation Specialist

    Kaleida Health (Buffalo, NY)
    …the clinical team and collaborates extensively with Physicians/Providers, HIM coding team, Nursing , Patient Management , Quality Department and ancillary staff to ... reflection of the patient condition in the associated DRG assignments, case -mix index, documentation/coded quality metrics, and reimbursement. The CDS exhibits a… more
    Kaleida Health (08/08/25)
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