• Clinical Risk Management Analyst ( RN )…

    Trinity Health (Syracuse, NY)
    …strongly preferred). + Master's degree preferred. + Certification (CPHRM) is preferred. + Registered Nurse preferred. + Ideally, the candidate will have 3-5 ... **Employment Type:** Full time **Shift:** Day Shift **Description:** This is not a remote work from home position Monday - Friday, Day Shift Schedule **Position:… more
    Trinity Health (11/20/25)
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  • RN Medical Practice Clinical Lead-…

    Nuvance Health (Carmel, NY)
    …Bonus for Full-time externals only, pro-rated for Part-time *Medical Practice Clinical Lead RN position in the Gastroenterology department in Carmel, NY* * *40 hours ... and 6:00pm. Flexibility for occasional evening meetings. * * *Hybrid/ remote work 1 day per week after onboarding period.*...week after onboarding period.* * Summary: The Clinical Lead RN works with the clinical staff, physicians and advanced… more
    Nuvance Health (11/01/25)
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  • Sr Certified Medical Coder RN

    Centene Corporation (New York, NY)
    …as assigned. + Complies with all policies and standards. **Education/Experience:** RN Degree. One year experience preferred in hospital inpatient coding. Nursing ... experience in a clinical setting or acute care hospital; RN , PA, MD, APRN, DO or MBBS license required....plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (01/06/26)
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  • Utilization Management Reviewer, RN

    Excellus BlueCross BlueShield (Rochester, NY)
    …development and promotional opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of three years of ... away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This… more
    Excellus BlueCross BlueShield (01/06/26)
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  • RN - Clinical Research Nurse - NE

    Albany Medical Center (Albany, NY)
    …pre-study visit/qualification visit meetings and Site Initiation Meeting, whether on site or remote 2. Attend Investigator Meeting either remote or at location ... mediation to the patient or set up/schedulemedication infusions or coordinate with nurse to administer study medication injection. 16. Review oral study medication… more
    Albany Medical Center (12/08/25)
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  • Operations Manager - VBCM ( Remote )

    Sharecare (Albany, NY)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... preferred + 5+ years' experience in Care/Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is preferred. + Health Plan experience is required. + Demonstrates computer… more
    Sharecare (11/25/25)
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  • CDQI Nurse Specialist - Part Time…

    Datavant (Albany, NY)
    …experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification ... required + Must pass a CDI skills competency assessment + Must be able to accommodate a min of 15 hours per week Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated… more
    Datavant (11/11/25)
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  • LPN - Med Surg (Full Time)

    Highmark Health (Westfield, NY)
    …for providing care to patients and families under the direction of the registered nurse . **ESSENTIAL RESPONSIBILITIES** + Performs general nursing care within ... provide a critical stopgap for the citizens in a remote area of Western New York. **Allegheny Health Network**...the preparation of equipment and assists the clinical provider ( registered nurse , advanced practice nurse more
    Highmark Health (12/31/25)
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  • Director Pre Appeals Management-HSO Appeals…

    Mount Sinai Health System (New York, NY)
    …**Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days - Remote ** The Director, Pre Appeals Management is a strategic ... Business, or related field strongly preferred + **Licensure/Certification** : + Active RN license in the state of employment required + Certification in Case… more
    Mount Sinai Health System (11/01/25)
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  • Senior Abstractor, HEDIS/Quality Improvement…

    Molina Healthcare (Syracuse, NY)
    …**O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment To all current Molina employees: If you ... are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.82 - $51.06… more
    Molina Healthcare (12/20/25)
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