• Provider Transformation Specialist ( RN

    Highmark Health (Albany, NY)
    …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... Description :** **JOB SUMMARY** This job is for an RN who will be directly responsible for outcomes of...to: Advising primary care practices, physicians, nurses and other clinical staff to assist them on their conversion to… more
    Highmark Health (02/18/25)
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  • RN - RCF, Days, Part Time

    Guthrie (Cortland, NY)
    …Guthrie Cortland Nursing and Rehabilitation Center is searching for a compassionate & skilled Registered Nurse ( RN ) to provide exceptional care in our ... This part time RN position on Day Shift works four shifts...Licensure/Certificates/Certification: + Current NYS license to perform as a registered professional nurse + Current BLS-CPR certification… more
    Guthrie (02/21/25)
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  • RN - MDS Coordinator

    Elderwood (Waverly, NY)
    Salary $38 - $53.30 / hourly Overview Are you a Registered Nurse ( RN ) with Medicare experience? Do you consider yourself an expert in assessment and ... of Benefits Program + Increased Tuition Reimbursement Program for Clinical Tracks + Shift Differentials + Full Benefits Package... - MDS Coordinator - Qualifications: + Licensed Professional Nurse ( RN licensure preferred) with current license… more
    Elderwood (04/17/25)
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  • RN - RCF, Days, Part Time

    Guthrie (Cortland, NY)
    Achieve Better Work-Life Balance: Join Us as a Part-Time Registered Nurse at Guthrie Cortland Medical Center! GCMC is searching for a compassionate and dedicated ... time RN to provide exceptional care at our Resident Care...Licensure/Certificates/Certification: + Current NYS license to perform as a registered professional nurse + Current BLS-CPR certification… more
    Guthrie (04/10/25)
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  • RN - Acute Care Float Pool, PT

    Guthrie (Cortland, NY)
    Achieve Better Work-Life Balance: Join Us as a Part-Time Registered Nurse at Guthrie Cortland Medical Center! The Float Pool Department is searching for a ... compassionate and dedicated time RN to gain invaluable experience across Med/Surg and Telemetry...Licensure/Certificates/Certification: + Current NYS license to perform as a registered professional nurse + Current BLS-CPR certification… more
    Guthrie (04/09/25)
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  • Investigator, SIU RN

    Molina Healthcare (Albany, NY)
    …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and… more
    Molina Healthcare (04/20/25)
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  • Call Center Triage RN

    Ellis Medicine (Schenectady, NY)
    coding procedures and reference tools, and pharmacology appropriate to the Registered Nurse scope of practice is essential. Requires excellent decision ... and guidance from approved evidence based algorithms, the triage nurse will handle telephone inquiries from patients who are...appointment available with each provider contacts practices to alert Clinical staff to add on to provider schedule +… more
    Ellis Medicine (04/22/25)
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  • Utilization Management Reviewer I/II/III…

    Excellus BlueCross BlueShield (Utica, NY)
    …Level I: + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested ... and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and contractual benefits… more
    Excellus BlueCross BlueShield (05/02/25)
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  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    …coverage as needed and other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse working on their degree with ... RN Case Manager **Position Summary** At Stony Brook...is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will… more
    Stony Brook University (04/17/25)
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  • Special Investigation Unit Manager Clinical

    CVS Health (Albany, NY)
    …for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding Certification - Certified ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
    CVS Health (04/23/25)
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