• 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)
    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 ... competencies Licensure/Certificates/Certification: + Current NYS license to perform as a registered professional nurse + Current BLS-CPR certification required… 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 ... competencies Licensure/Certificates/Certification: + Current NYS license to perform as a registered professional nurse + Current BLS-CPR certification required… more
    Guthrie (04/09/25)
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  • Utilization Management Reviewer I/II/III…

    Excellus BlueCross BlueShield (Utica, NY)
    …programs and services. + Makes accurate and consistent interpretation of required clinical criteria, medical policy , contract benefits, and State and Federal ... Responsibilities/Accountabilities: Level I: + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested… more
    Excellus BlueCross BlueShield (05/02/25)
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  • Clinical Documentation Specialist - Full…

    Mohawk Valley Health System (Utica, NY)
    … coding conventions. Core Job Responsibilities Provider Interaction and Clinical Documentation Review + Develops and executes comprehensive queries (written and ... Reviews and Documentation Validation + Performs systematic reviews of clinical documentation according to official coding guidelines....experience. + 2 years of experience in an inpatient coding , RN or documentation role. + Comprehensive… more
    Mohawk Valley Health System (04/26/25)
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  • RN Utilization Review - System Care…

    Guthrie (Binghamton, NY)
    …concurrent and retrospective medical necessity and/or compliance with reimburesement policy criteria. Provides case management and/or consultation for complex cases. ... Assists departmental staff with issues related to coding , medical records/documentation, precertification, reimbursement and claim denials/appeals. Assesses and… more
    Guthrie (04/05/25)
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  • Clinical Review Nurse I (US)

    Elevance Health (East Syracuse, NY)
    …through Friday, 8 am - 5 pm EST or CST. Hours are flexible. The ** Clinical Nurse Reviewer I** is responsible for reviewing and making medical determinations as ... ** Clinical Review Nurse I - Medicare Part B**...percentages. + Coding certification or experience with medical coding is a plus. + Part B Nurse … more
    Elevance Health (05/03/25)
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  • Nurse Practitioner Infusion Center N SCH

    Catholic Health (Buffalo, NY)
    …(Board Certification) + Maintains a current license in New York State as a registered nurse and nurse practitioner (Active RN and APNP license) + BLS and ... Variable 10 hour and 12 hour shifts Summary: The Infusion Center Nurse Practitioner functions as an independent health care provider who, working collaboratively… more
    Catholic Health (04/14/25)
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  • Surgical Technologist - Cert

    Northwell Health (Staten Island, NY)
    …counted as per hospital policy 11. Verifies operative site with circulating room nurse . 12. Assists in the gowning and gloving of the surgical team and draping ... needs and efficiently carries out instructions by the surgeon, anesthesiologist and circulating nurse . 3. Assists the circulating nurse in the assembly and… more
    Northwell Health (04/08/25)
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