• Utilization Review Nurse I

    Centene Corporation (New York, NY)
    …a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and ... fraud and abuse cases to Program Integrity. Acts as liaison between the TRICARE beneficiary and the Network Provider....beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary prior authorization… more
    Centene Corporation (08/02/25)
    - Related Jobs
  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …industry accepted clinical criteria guidelines. The UAM serves as interdepartmental liaison identifying denial reasons and opportunities for improvement from both ... Handles queries from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician… more
    Catholic Health Services (07/24/25)
    - Related Jobs
  • Clinical Nursing Supervisor - Sunnyview Rehab…

    Trinity Health (Schenectady, NY)
    …Track Days - Eligible for Full-Time Medical Benefits** If you are an RN looking for a supervisory position, but your personal schedule doesn't permit you ... as a problem solver, planner, clinical and administrative resource, organizer, and liaison to the medical staff. + Areas of responsibility include orientation,… more
    Trinity Health (08/20/25)
    - Related Jobs
  • Nursing Community Housing Outreach

    Access: Supports For Living (Mount Vernon, NY)
    …Mt. Vernon, NY Hours: M-F flexible (3o hours plus one remote day) Salary: $55/hr ( RN ) $33/hr (LPN) RN License or LPN License Required The Health Care Coordinator ... for compliance for prescribe protocols. + Acts as a liaison concerning medical issues with consulting physicians, parents/family, Case...+ Strong computer skills EDUCATION AND EXPERIENCE: + Current RN or LPN license to practice in NYS +… more
    Access: Supports For Living (08/08/25)
    - Related Jobs
  • Licensed Practical Nurse

    CDS Life Transitions (Webster, NY)
    …immunization records, etc.; maintain medical files and records under supervision of I/DD RN . + Acts as a liaison with other community service providers ... Summary: Under supervision of the I/DD RN provides nursing and medical related services to...Education and Experience: + Must be licensed and currently registered as a Licensed Practical Nurse by… more
    CDS Life Transitions (07/26/25)
    - Related Jobs
  • Admitting Clinical Coordinator

    Highland Hospital (Rochester, NY)
    …collaboration, and excellent communication are essential to function as a liaison between physicians/providers, charge nurses, CRA's, managers, directors, and Bed ... staff in order to facilitate the admission of acute care patients. The ACC RN assures internal and external customer satisfaction and promotes a positive image of… more
    Highland Hospital (07/09/25)
    - Related Jobs
  • Surgical Core Tech

    Albany Medical Center (Albany, NY)
    …room. Functions in the OR setting under the direction of the OR RN clinical manager(s). Assures surgeons' needs as identified on the surgical preference card ... necessary for add-on and emergent procedures. Serves as a liaison between the Surgery departments, SPD, Materials Management, and...serial, and expiry information is recorded. + Serves as liaison in value analysis process and as a resource… more
    Albany Medical Center (08/08/25)
    - Related Jobs
  • Director of Nursing FOX

    Bassett Healthcare (Oneonta, NY)
    …planning within the nursing departments, and also includes acting as a liaison between nursing staff, administration, and other departments. This role collaborates ... planning within the nursing departments, and also includes acting as a liaison between nursing staff, administration, and other departments. This role collaborates… more
    Bassett Healthcare (07/12/25)
    - Related Jobs
  • Quality Reporting - Sunnyview Rehab Hospital

    Trinity Health (Schenectady, NY)
    …Sunnyview Rehab Hospital** If you possess a professional license in nursing ( RN ), Physical Therapy (PT), Occupational Therapy (OT), Speech Language Pathology (SLP), ... specified timeframes dictated by CMS. + Collaborates with rehab liaison and admitting physician to determine the anticipated case...**What you will need:** + Current NY license for RN , Social Work, PT, OT or SLP or related… more
    Trinity Health (08/20/25)
    - Related Jobs
  • Nursing Administrator

    ACLD (Bethpage, NY)
    …self-surveys and OPWDD certification surveys of residential programs and act as a liaison between the auditors and residential nurse /manager. + Participate in ... by facilitating the lives of the amazing people we support. Requirements + RN certification, currently licensed by the New York State Department of Education;… more
    ACLD (08/18/25)
    - Related Jobs