• Audit Nurse

    City of New York (New York, NY)
    …develops and oversees the Division's continuum of programming and services. JJPS is seeking an Audit Nurse who will ensure that youth in ACS care and/or custody ... the best possible medical care. In doing so, the Audit Nurse will work closely with operations...- 50910 Qualifications 1. A valid New York State Registered Nurse License. Additional Information The City… more
    City of New York (08/08/25)
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  • RN Case Mgr I-HC

    Rochester Regional Health (Rochester, NY)
    Job Title: RN Case Mgr I - HC STATUS: Full Time Department:...A minimum of 2 years of home care experience. + Registered Nurse license in New York State. + ... Monroe County Sign-On Bonus: Up to 20,000 SUMMARY: The RN Case Manager is responsible for the delivery of...Understands when to escalate to management. Required Qualifications: * Registered Nurse license in New York State.… more
    Rochester Regional Health (06/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role enables associates to work...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise,… more
    Elevance Health (08/09/25)
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  • RN - Assistant Director of Nursing

    Elderwood (Grand Island, NY)
    …excellent communication skills and an ability to foster teamwork. Valid licensee as a Registered Nurse in New York State is required. Assistant Director of ... of personnel in the Nursing department. + The ADON ( RN ) shall assess residents, perform audit measures...adhere to the State Board of Nursing and State Nurse Practice Act requirements, facility philosophy, and operational policies… more
    Elderwood (08/09/25)
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  • RN - MDS Nurse Assessor

    Elderwood (Lake Placid, NY)
    …with experience!) NEW:Gas Allowance Benefit for Full-time and Part-time positions Are you a Registered Nurse ( RN ) with Medicare experience? Do you consider ... Salary $74,000 to $96,525 / year Overview RN - MDS Nurse Assessor Pay...systems + Conduct resident interviews + Compile, monitor, and audit clinical documentation + Communicate clinical issues effectively to… more
    Elderwood (07/08/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (08/02/25)
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  • Wellness Nurse RN

    Sunrise Senior Living (Huntington Station, NY)
    …approved college/school of nursing + Maintains a current state/provincial license as a professional Registered Nurse ( RN ) + Minimum of one (1) year ... NAME** Sunrise of Huntington **Job ID** 2025-229809 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents… more
    Sunrise Senior Living (08/10/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides supporting documentation for… more
    Molina Healthcare (08/08/25)
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  • Supervisor, Care Review ( RN )

    Molina Healthcare (Syracuse, NY)
    …leadership skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. + MULTI STATE ... targeted member population, and triage activities. + Completes staff quality audit reviews. Evaluates services provided and outcomes achieved and recommends… more
    Molina Healthcare (07/27/25)
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  • Nurse Educator ( RN )

    Heritage Ministries (Gerry, NY)
    …duties as assigned Requirements * Licensed currently as a New York State registered professional nurse in good standing. Maintenance of licensure requirements ... is in growth mode and are currently seeking a Nurse Educator to join our team! The Nurse...Maintains accurate records, . Compiles information for review and audit purposes. . Ensures compliance with New York State… more
    Heritage Ministries (06/20/25)
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