• Care Review Clinician, Prior…

    Molina Healthcare (Albany, NY)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
    Molina Healthcare (09/18/25)
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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: $83,200.00 - $128,960.00 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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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Rochester, 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 (09/05/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Buffalo, NY)
    …, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. *… more
    Molina Healthcare (10/02/25)
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  • Nursing - Registered Nurse Manager

    Project Renewal, Inc. (New York, NY)
    …for a DEA inspection (managing the buprenorphine census) Qualifications: + Active New York State Registered Nurse ( RN ) license + BLS certification + At least ... Title: Nurse Care Manager for Drug User Health Services...to track prescribing and pharmacy fill history + Insurance authorization and troubleshooting coverage issues + Relationship building and… more
    Project Renewal, Inc. (09/27/25)
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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 (08/08/25)
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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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  • 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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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues,… more
    Arnot Health (08/08/25)
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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 (09/23/25)
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