• Clinical Appeals Nurse ( RN )

    Molina Healthcare (Albany, NY)
    …within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied cases ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (08/15/25)
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  • Utilization Manager Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for ... metrics and meeting requirements established for audits to ensure adherence to regulatory and departmental policy/procedures. + Maintains compliance with all … more
    Excellus BlueCross BlueShield (08/23/25)
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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: ... Coordinator manages all aspects of the Trauma Department's Performance Improvement Program . The Performance Improvement Coordinator is responsible for monitoring and… more
    WMCHealth (08/22/25)
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  • Charge Nurse RN - Full Time and Part…

    Loretto Management Corporation (Syracuse, NY)
    … or recent graduate we want to talk with you about joining our team! TheCharge Nurse , RN , is responsible for performing a variety of duties to provide quality ... health data and communicates updates to the care team in accordance with regulatory standards. Compliance + Follows all nursing policies, procedures, and… more
    Loretto Management Corporation (08/23/25)
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  • RN , Clinical Manager

    HCR Home Care (Rochester, NY)
    …meet agency communication plan . + Adhere to and participate in Agency's mandatory HIPAA/Privacy Program and Employee Compliance Program . + Read and adhere ... $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… more
    HCR Home Care (08/31/25)
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  • RN Trainer/Supervisor

    Chautauqua Opportunities (Dunkirk, NY)
    …skills and demonstration of skills. * Maintains current knowledge of and assures regulatory and procedural compliance . * Assists with recruitment and hiring of ... Required: * Bachelor's degree in nursing required. * Current NYS license for Registered Professional Nurse - DOH fingerprinting already completed for licensure.… more
    Chautauqua Opportunities (08/08/25)
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  • Assistant Director of Nursing ( RN )

    National Health Care Associates (Bellmore, NY)
    …care to our residents + Participate in quality assurance monitoring and ensure compliance with regulatory standards + Drive a culture of continuous improvement ... the Director of Nursing to set and achieve clinical program objectives aligned with our mission. Your leadership will...for the daily clinical operations of the center, including compliance , coordination of care, and ensuring patient and family… more
    National Health Care Associates (08/22/25)
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  • Infection Prevention/Educator RN - Skilled…

    Arnot Health (Elmira, NY)
    Job Description The SNF Infection Prevention/Educator RN is a professional whose knowledge of nursing procedures, aseptic techniques and good communication skills ... assists in the ability to educate physicians, nurse and other Arnot Health personnel in the prevention...policies and participation in performance improvement and best practice compliance . **This position will also be responsible for traveling… more
    Arnot Health (09/02/25)
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  • Director of Nursing Services ( RN )

    National Health Care Associates (Troy, NY)
    …residents + Collaborate with interdisciplinary teams to optimize resident care plans Ensure compliance to regulatory standards + Drive a culture of continuous ... **_The Pines at Heartwood_** _, a beautiful Medicaid-Assisted Living Program center with stable staff and a member of...a Health & Wellness Director include:** + Valid state RN nursing license + Advanced degree or certification preferred… more
    National Health Care Associates (09/09/25)
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  • RN Transplant Coordinator-Mt Sinai Hospital…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Transplant Coordinator is a Registered Professional Nurse , Nurse Practitioner or Physician Assistant with specific knowledge and ... and services for designated patient populations within the Transplantation Institute. **Qualifications** NYS RN with BSN and at least 2 yeas acute care nursing. BCLS… more
    Mount Sinai Health System (07/11/25)
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