• Clinical Risk Management Specialist

    Rochester Regional Health (Rochester, NY)
    …or a related field required. + For those with a BSN; valid NYS Registered Nurse License is required. + Certification in quality improvement, safety, clinical ... individual is responsible for identifying, assessing, and mitigating clinical risks, ensuring compliance with regulatory standards, and promoting a culture of… more
    Rochester Regional Health (09/17/25)
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  • Director of Nursing (DDS)

    The Salvation Army (Jamaica, NY)
    …+ Assist facilities in annual and complaint surveys. + Identify and resolve any regulatory compliance risk as it relates to nursing. + Implement processes to ... routine audits of medical records, to ensure all medical compliance is met and the programs are audit ready....resident being served. + Current licensed as a Professional Registered Nurse in New York State +… more
    The Salvation Army (11/06/25)
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  • RN - Case Manager - Full Time - Days - 4…

    Mohawk Valley Health System (Utica, NY)
    …discharge planning. + Ensure compliance with quality patient care and regulatory compliance . Education/Experience Requirements Required: + Minimum of two (2) ... RN - Case Manager - Full Time - Days...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree in… more
    Mohawk Valley Health System (11/15/25)
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  • RN Clinical Manager

    CenterWell (Westbury, NY)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (09/30/25)
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  • Nursing Supervisor (DDS)

    The Salvation Army (Jamaica, NY)
    …+ Assist facilities in annual and complaint surveys. + Identify and resolve any regulatory compliance risk as it relates to nursing. + Implement processes to ... routine audits of medical records, to ensure all medical compliance are met and the programs are audit ready....resident being served. + Current licensed as a Professional Registered Nurse in New York State +… more
    The Salvation Army (09/17/25)
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  • Medical Investigator I/II ( RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …includes investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating ... Accountabilities) + Manages the highest level of complex investigations, compliance and regulatory issues and exercises decision-making...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more
    Excellus BlueCross BlueShield (09/17/25)
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  • RN - Clinical Risk Manager - Full Time…

    Mohawk Valley Health System (New Hartford, NY)
    RN - Clinical Risk Manager - Full Time - Days Department: LEGAL AND COMPLIANCE Job Summary The RN - Clinical Risk Manager ("CRM") is responsible for ... targeted risk management education, and providing risk management consultation to ensure compliance with regulatory standards, promoting a culture of safety,… more
    Mohawk Valley Health System (11/21/25)
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  • Case Management Specialist

    CVS Health (Albany, NY)
    …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... and connect members with health plan benefits and community resources. + ** Regulatory Compliance :** Meet regulatory requirements within specified timelines.… more
    CVS Health (11/26/25)
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  • RN Supervisor

    The Community at Brookmeade (Rhinebeck, NY)
    …Part Time Weekends Day Shift (7 AM-3 PM) Minimum Qualifications: + Current and valid Registered Nurse ( RN ) license in the state of employment. + Demonstrated ... maintaining compliance with healthcare regulations and organizational policies. The RN Supervisor acts as a clinical leader, providing guidance, mentorship, and… more
    The Community at Brookmeade (11/20/25)
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  • Director Pre Appeals Management-HSO Appeals…

    Mount Sinai Health System (New York, NY)
    …+ Develop and implement pre appeals strategies, policies, and procedures to ensure regulatory compliance (CMS, The Joint Commission, NCQA, etc.). + Oversee daily ... This role ensures the appropriate use of medical resources, compliance with regulatory standards, and coordination of...related field strongly preferred + **Licensure/Certification** : + Active RN license in the state of employment required +… more
    Mount Sinai Health System (11/01/25)
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