• Clinical Review Nurse - Prior

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure required Pay Range: ... fresh perspective on workplace flexibility. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity...processes preferred. NYS RN license required… more
    Centene Corporation (08/03/25)
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  • Registered Nurse Scheduler…

    Trinity Health (Syracuse, NY)
    …- 4pm 104 Union Ave ste 1005 Syracuse, NY 13203 MOC building 10th floor ** Registered Nurse Scheduler** The RN Scheduler contributes to the overall success ... a safe surgical plan is in place 5-7 days prior to DOS. In addition, the RN ...class regulations. **Education, Training, Experience, Certification and Licensure:** + Registered Nurse with current licensure in New… more
    Trinity Health (06/24/25)
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  • Advanced Registered Nurse

    STG International (Plattsburgh, NY)
    …and in accordance to their need and learning capacity. + Assists the Registered Nurse to ensure all patient information on electronic encounter documentation ... STGi is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to...Scope of Practice/Collaborative Agreement with a state licensed physician prior to delivery of health care). + Current and… more
    STG International (05/07/25)
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  • Care Review Clinician, Prior Auth…

    Molina Healthcare (NY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
    Molina Healthcare (07/12/25)
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  • RN - Allergy, Asthma & Immunology Practice

    Albany Medical Center (Albany, NY)
    …required * Minimum of 1 year of prior clinical nursing experience is required Registered Nurse ( RN ) - Full TimeDivision of Allergy, Asthma, & Immunology ... (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Full...approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager/Clinical Nurse Specialist/Consulting MD), prior authorization ,… more
    Albany Medical Center (07/23/25)
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  • Nurse Coordinator - Therapeutic Foster Care…

    Hillside Family of Agencies (NY)
    …of youth/individuals. This role may also include performing all clinical functions of a Registered Nurse ( RN ). This is a full-time (40 hours) position, ... and support in an OCFS funded program! * Valid Registered Nurse ( RN ) license *...obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity… more
    Hillside Family of Agencies (06/24/25)
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  • Residential Nurse Manager - Monroe…

    Hillside Family of Agencies (Rochester, NY)
    …management for an identified caseload of youth, as well the clinical functions of the Registered Nurse ( RN ). Essential Job Functions + Ensure the health care ... health care. + Perform all clinical functions of a Registered Nurse ( RN ) for youth...obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity… more
    Hillside Family of Agencies (07/18/25)
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  • Telephone Triage RN

    Saratoga Hospital (Saratoga Springs, NY)
    …responsibilities or working conditions associated with the position. The Telephone Triage Registered Nurse will work within the Patient Engagement Center to ... linkages, and sources referral. Minimum Qualifications Education, Training & Experience + Registered Nurse Required, BSN preferred + 3-5 years working in… more
    Saratoga Hospital (07/26/25)
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  • RN Case Manager - Case Management - Full…

    Guthrie (Corning, NY)
    …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... within two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's degree in… more
    Guthrie (06/24/25)
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  • RN Supervisor Case Management - Full Time…

    Mohawk Valley Health System (Utica, NY)
    …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... RN Supervisor Case Management - Full Time - Days...and currently registered to practice as a Registered Nurse in New York State. Disclaimer Qualified… more
    Mohawk Valley Health System (07/09/25)
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