• Quality Improvement Auditor…

    Centene Corporation (New York, NY)
    …findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance provided ... years of nursing or quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $55,100.00 -… more
    Centene Corporation (05/10/25)
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  • ( RN ) HCS-D, COS-C - Registered…

    Northwell Health (Westbury, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... **Req Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Conducts Home Health Resource Group (HHRG) Validation to… more
    Northwell Health (06/02/25)
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  • ( RN ) Registered Nurse…

    Northwell Health (Garden City, NY)
    …combination of education and related experience. 2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized ... **Req Number** 162995 Job Description Seeking RN - BSN or MSN candidates with a...- Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist- Clinical . Validates Acute Inpatient coded charts to ensure the… more
    Northwell Health (07/11/25)
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  • Case Manager, RN (Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    … clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required; or LMSW;… more
    Excellus BlueCross BlueShield (06/18/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Buffalo, NY)
    …basis to demonstrate program effectiveness. + Facilitates and builds high quality clinical care/ services through relationships with key departments within Molina ... requirements and oversees the use of automated software tools and processes; Clinical Quality Interventions, which develops, implements and monitors the success of… more
    Molina Healthcare (08/02/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (NY)
    …other departments within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with ... Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
    Molina Healthcare (07/31/25)
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