• RN - Albany, Myrtle Ave.Women's Health…

    Albany Medical Center (Albany, NY)
    …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), the ... state accredited Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required + Current CPR certification… more
    Albany Medical Center (03/25/25)
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  • RN Case Management - Acute Care, St.…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Case Manager** **Full-Time Days** **St. Peter's Hospital** If you are looking for a ... member of our caring, compassionate health care team the RN Case Manager will enjoy:** + Hours are 8am-4pm...+ 1+ year of experience in case management or utilization management + Case Management certification (CCM) or Certified… more
    Trinity Health (05/02/25)
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  • Clinical Assessment RN Manager - Bronx…

    FlexStaff (Bronx, NY)
    **Req Number** 157287 Clinical Assessment RN Manager - Bronx FlexStaff is seeking a full-time Clinical Assessment Manager for our client, a non-profit healthcare ... client is seeking an experienced and motivated Clinical Assessment RN Manager to lead our clinical assessment team and...etc.). + 5+ years in case management, disease management, utilization review, or quality assurance. + Experience working with… more
    FlexStaff (05/01/25)
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  • RN Clinical Review Nurse - Prior…

    Centene Corporation (New York, NY)
    …a fresh perspective on workplace flexibility. Applicants must possess NY RN State Licensure **Position Purpose:** Analyzes all prior authorization requests to ... + Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to… more
    Centene Corporation (05/03/25)
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  • Investigator, SIU RN

    Molina Healthcare (Albany, NY)
    …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... through the identification of aberrant coding and/or billing patterns through utilization review. * Incorporate leadership and communication skills to work with… more
    Molina Healthcare (04/20/25)
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  • RN Case Manager - Full Time - Days

    Mohawk Valley Health System (Utica, NY)
    RN Case Manager - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case Management Department. Provides ongoing ... Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: +… more
    Mohawk Valley Health System (04/16/25)
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  • Health Services Administrator HSA RN

    YesCare Corp (Coxsackie, NY)
    …experience in a healthcare setting.** + **This position requires an active RN License.** + Correctional healthcare experience preferred. + Subject to initial and ... new hire and annual orientation and training activities. + Ensures site utilization and compliance with allYesCareand applicable client systems and applications. +… more
    YesCare Corp (03/21/25)
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  • Education Manager, RN (Health Plans)

    VNS Health (Manhattan, NY)
    …and Certifications:Licensure: Current license and registration to practice as a Registered Professional Nurse CM certification (Certified Care Management) ... us at VNS Health Plans as an Education Manager ( RN ) and make a meaningful impact on clinical training...cutting edge of healthcare excellence. Bring your experience in Utilization Management to develop new and modify existing curriculum… more
    VNS Health (03/05/25)
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  • Clinical Coordinator ( RN )-MSH…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Nurse Clinical Coordinator is a Registered Professional Nurse as well as a member of the palliative care interdisciplinary team who ... provision of palliative care consultations. The goal of a Nurse Clinical Coordinator is to prevent and relieve suffering,...well as reviewing schedules for accuracy and optimal slot utilization + Participate in all activities of care as… more
    Mount Sinai Health System (04/30/25)
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  • RN -Education Spec-Clin Center for Learning…

    Albany Medical Center (Albany, NY)
    …of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning. * BLS Certification. * Demonstrated clinical ... competency in a nursing or allied health specialty. Previous experience in education program development and teaching preferred. * Ability to create collegial and collaborative relationships internally and externally. * Ability to read and analyze documents. *… more
    Albany Medical Center (03/04/25)
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