• Clinical Appeals Nurse ( RN )

    Molina Healthcare (Albany, NY)
    …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/ medical reviews of ... the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases… more
    Molina Healthcare (08/15/25)
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  • RN NICU

    UHS (Johnson City, NY)
    …comprehensive provider of healthcare services in upstate New York's Southern Tier, is hiring an RN , NICU to join our team at UHS Wilson Medical Center in Johnson ... Division, or Unit: Neonatal Intensive Care Unit, UHS Wilson Medical Center Primary Work Shift: Multiple shifts available Compensation...in upstate New York's Southern Tier, is hiring an RN , NICU to join our team at UHS Wilson… more
    UHS (06/07/25)
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  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …with Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and...opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of… more
    Excellus BlueCross BlueShield (08/23/25)
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  • Case Manager- RN

    WMCHealth (Poughkeepsie, NY)
    …complex medical and psychosocial situations. Knowledge of community resources, insurance and publicly funded programs. + EDUCATION + Graduate of an accredited ... Case Manager- RN Company: MidHudson Regional Hospital City/State: Poughkeepsie, NY...+ Assessment + Assesses the patient's psychosocial situation including medical , family, social, emotional, psychiatric, cultural, spiritual, financial and… more
    WMCHealth (08/26/25)
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  • Adjunct Lecturer or Adjunct Assistant Professor…

    CUNY (Bronx, NY)
    Adjunct Lecturer or Adjunct Assistant Professor - RN Program (Nursing) **FACULTY VACANCY ANNOUNCEMENT** The Department of Nursing and Allied Health Sciences seeks ... or weekend assignments. Assignments will include teaching in the LPN and RN Programs. Faculty are expected to plan, implement and evaluate instruction modalities.… more
    CUNY (06/16/25)
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  • Emergency Department Nurse ( RN )

    UHS (Johnson City, NY)
    …is seeking adaptable, experienced RNs to join our Emergency department at UHS Wilson Medical Center located in Johnson City, NY. We are a level II trauma center ... the only trauma center in the region. As a nurse in this acute care Emergency department, you will...a six-story, 183,000-square-foot clinical tower on the UHS Wilson Medical Center campus. Primary Department, Division, or Unit: Emergency… more
    UHS (06/07/25)
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  • RN Medicare Compliance Sr

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Medicare Compliance Sr **PRIMARY PURPOSE OF THE ROLE:** To perform ... provider outreach, specialized document review , and analysis and interpretation of interventions for the...and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or… more
    Sedgwick (08/29/25)
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  • RN , Clinical Manager

    HCR Home Care (Rochester, NY)
    …$89,000.00 - $99,000.00 Annually Role and Responsibilities The Clinical Manager is an RN who supervises a potentially interdisciplinary team of RNs and LPNs to ... is completed including , but not limited to: + Review and follow-up on complaint forms and all QI...conferences via the Case Conference Coordination Note in the medical record . + With the assistance of the… more
    HCR Home Care (08/31/25)
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  • Performance Improvement Trauma Coordinator-…

    WMCHealth (Valhalla, NY)
    Performance Improvement Trauma Coordinator- RN Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... occurrences. The Performance Improvement Coordinator collaborates with the Trauma Medical Director, Trauma Program Manager, Trauma Registrars and other disciplines… more
    WMCHealth (08/22/25)
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  • Assistant Professor or Associate Professor…

    CUNY (Bronx, NY)
    Assistant Professor or Associate Professor RN and LPN Program - Nursing and Allied Health Sciences **FACULTY VACANCY ANNOUNCEMENT** Bronx Community College, home to ... supervisory, and other functions. **QUALIFICATIONS** Masters in Nursing required. Licensed as an RN in the United States for a minimum of two years. Currently holds… more
    CUNY (08/11/25)
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