• 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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  • 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 ... 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 (08/08/25)
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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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  • Care Review Clinician, PA ( RN

    Molina Healthcare (Yonkers, 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 (07/17/25)
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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 (08/08/25)
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  • RN Patient Navigator - Bariatric Surgery

    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 (07/17/25)
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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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  • 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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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Rochester, NY)
    …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (08/03/25)
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