• 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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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Syracuse, NY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... a compact licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with… more
    Molina Healthcare (08/16/25)
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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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  • Care Review Clinician, PA ( RN

    Molina Healthcare (Albany, 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 (08/31/25)
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  • RN - Clinical Coordinator

    Catholic Health Services (Massapequa, NY)
    …duties as assigned. Requirements Bachelor of Science in Nursing, or BSN New York Registered Nurse ( RN ) License & Registration BLS/ACLS training required and ... Overview The RN -Clinical Coordinator will report directly to the Medical...tools Responsible for reviewing the accuracy of printed records prior to placing in medical record and evaluate accuracy… more
    Catholic Health Services (08/14/25)
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  • RN Patient Navigator - Primary Care

    Crouse Hospital (Syracuse, NY)
    …the health care system from the initiation of the referral, to obtaining prior authorization , scheduling appointments and tracking and following up on results. ... Required Qualifications: Registered Nurse , Demonstrated experience in a multi-specialty physician office. Excellent customer service skills. Excellent computer… more
    Crouse Hospital (09/03/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Albany, NY)
    …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in… more
    CVS Health (09/02/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse more
    Stony Brook University (07/16/25)
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  • Nurse - Cardiology Office - Triage…

    Trinity Health (Albany, NY)
    …delivered when patients call with cardiac symptoms. Patient education via phone or nurse visits. Prescription refills, prior authorization for medicine. ... Time** If you are looking for a phone triage RN II position in a busy Cardiology Office, this...- Friday Office Hours **What you will do:** The ** Registered Professional Nurse ** has the responsibility and… more
    Trinity Health (09/02/25)
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