• Utilization Management Nurse…

    CVS Health (Albany, NY)
    …Qualifications** + Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...current and unrestricted RN licensure in state of residence + 1+ year(s)… more
    CVS Health (05/02/25)
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  • Utilization Review Nurse

    CDPHP (Albany, NY)
    …two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is preferred. + ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
    CDPHP (05/01/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …Aids Program Work Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Part Time HIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...program is required * Current NYS license as a Registered Nurse is required * Minimum of… more
    Albany Medical Center (02/21/25)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …by assuring communication with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State current license.* Bachelor's ... States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. *… more
    Albany Medical Center (04/25/25)
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  • Intake Coordinator- RN Lhtc/ Evenings

    Villa of Hope (Rochester, NY)
    …JOB SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... risk for suicidal behaviors or leaving against medical advice. MINIMUM QUALIFICATIONS: + NYS Registered Nurse license + Bachelor degree preferred + At least 3… more
    Villa of Hope (05/03/25)
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  • RN IV- CTICU (Part Time)

    Rochester Regional Health (Rochester, NY)
    …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... + Employee Referral Program + Free Parking Job Title: RN IV Department: CTICU Location: Rochester General Hospital Hours...on a unit-based or affiliate wide committee. REQUIRED QUALIFICATIONS: * Registered Nurse license in New York State… more
    Rochester Regional Health (04/30/25)
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  • Care Manager ( RN ) - Center for Refugee…

    Rochester Regional Health (Rochester, NY)
    …care, Nursing, Case Management, or Utilization Management experience preferred. * Registered Nurse with current New York State License * Case Management ... of care. The Care Manager actively participates in the utilization management process using standards of care to determine...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
    Rochester Regional Health (04/26/25)
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  • RN Clinical Manager Home Health

    CenterWell (Liverpool, NY)
    …of Nursing. + BSN required, NY state requirement. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... Type** : Hybrid **Branch Location** : Liverpool, NY The ** RN Clinical Manager** coordinates and oversees all direct care...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (04/01/25)
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  • RN Acute Case Manager - System Care…

    Guthrie (Binghamton, NY)
    …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification… more
    Guthrie (02/11/25)
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  • CHS Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
    Catholic Health Services (03/19/25)
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