• RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred Education ** Bachelor's Degree ... unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified… more
    Molina Healthcare (09/26/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Rochester, NY)
    …LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED EDUCATION :** Bachelors's ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management,… more
    Molina Healthcare (09/06/25)
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  • Behavioral Health Screener

    WMCHealth (Port Jervis, NY)
    …Job Details: The Behavioral Health Screener's primary role is to provide psychiatric emergency screening in BSCH Emergency Department requesting or requiring ... Frequent contacts with law enforcement personnel, EMS, BSCH security, ED RN staff, and family members. +...initial screening and follow-up. + Works closely with the case manager in discharge planning and making… more
    WMCHealth (09/12/25)
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  • LPN - Licensed Practical Nurse - Monroe…

    HCR Home Care (Rochester, NY)
    …of a Registered Nurse . Essential Functions Under the direct supervision of an RN Case Manager , and within the scope of practice for aL icensed ... physical or emotional condition , to the physician and RN Case Manager . +...Requirements + Current, valid LPN license issued from NYS Department of Education . + Experience in home… more
    HCR Home Care (09/27/25)
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  • RN Care Manager

    Anthony Jordan Health Corp (Rochester, NY)
    …nursing experience required. BSN preferred. . Preferred experience in urgent care, emergency department , pediatrics, or OB/GYN. Licenses And Certifications: . ... RN CARE MANAGER ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605)...Valid Registered Nurse licensure in New York State… more
    Anthony Jordan Health Corp (08/16/25)
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  • Senior Clinical Strategist

    CVS Health (Albany, NY)
    …actionable opportunities related to CM, gap closure, workflow discussions, and partnering with case manager supervisor/ manager and CMs - Serving as internal ... others on initiatives for Stars/quality improvement **Required Qualifications** - Registered Nurse with active and unrestricted license...in state the candidate resides - 4+ years of case management experience - 3+ years clinical experience -… more
    CVS Health (09/25/25)
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  • RN Clinical Manager

    BAYADA Home Health Care (New York, NY)
    …treatments, and home care trends through continuing education **Qualifications:** + Registered Nurse ( RN ) with a valid state license (required) ... meets clinical standards, regulatory requirements, and organizational goals. The RN Nurse Manager will be...**Key Responsibilities:** + Lead and supervise a team of registered nurses (RNs), licensed practical nurses (LPNs), and other… more
    BAYADA Home Health Care (09/23/25)
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  • RN Care Manager - Full Time Days

    Trinity Health (Albany, NY)
    …ass needed **What you will need:** **Required:** + A current license to practice as a Registered Nurse ( RN ) in the State of New York + Associate's degree ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Care Manager (Long Term Care...long term care facility or home care as a RN + Prior experience in case management… more
    Trinity Health (09/06/25)
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  • Bilingual RN Care Manager - Remote,…

    Humana (Albany, NY)
    …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
    Humana (09/26/25)
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  • Clinical RN Manager Integrated…

    FlexStaff (New York, NY)
    …or PACE programs preferred. Licensure: Current active and unrestricted license as a Registered Nurse in New York State. Skills: Strong clinical assessment and ... **Req Number** 156193 FlexStaff is looking for RN Clinical Managers The Clinical Manager ...education and staff development programs. Support the training department in developing orientation programs for new hires and… more
    FlexStaff (07/16/25)
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