• Medical Claim Review Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. +… more
    Molina Healthcare (08/08/25)
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  • RN Care Coordinator

    Crouse Hospital (Syracuse, NY)
    …annually, and a 401k with 4% employer match Position Description: The RN Care Coordinator will coordinate all systems/services required for an organized, ... outcomes are achieved within established time frames and with efficient utilization of resources. S/he interfaces with community providers, insurance companies and… more
    Crouse Hospital (08/12/25)
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  • RN Case Manager

    Amergis (Red Hook, NY)
    Salary: $2200 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... resources, service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case… more
    Amergis (07/30/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Rochester, NY)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
    Molina Healthcare (08/03/25)
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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 (06/03/25)
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  • Nurse -PT

    Outreach Development Corporation (Brentwood, NY)
    …health and/or substance abuse treatment or related setting; Outreach is seeking an experienced Registered Nurse ( RN ) to work in our Men's residential ... stress management, smoking cessation, sexually transmitted diseases, etc Qualifications + NYS Registered Nurse ( RN ) + Previous experience working as… more
    Outreach Development Corporation (08/11/25)
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  • Nurse Practitioner-Cardiothoracic- Mount…

    Mount Sinai Health System (New York, NY)
    …Additional Detail** + Licensure: New York State License with current registration as a registered nurse . + State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
    Mount Sinai Health System (08/03/25)
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  • Care Facilitator- Per Diem- Canton-Potsdam…

    Rochester Regional Health (Rochester, NY)
    …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... in the expected time frame and with most efficient utilization of resources. Carries out activities related to ...Certification/Licensure + Licensed in New York State as a Registered Nurse Required Years of Experience +… more
    Rochester Regional Health (07/25/25)
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  • Nurse Practitioner - Cardiovascular…

    Mount Sinai Health System (New York, NY)
    …REQUIREMENTS** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: 3. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
    Mount Sinai Health System (07/04/25)
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  • Nurse - Dialysis

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Dialysis Registered Nurse ( RN ) is a professional nurse with ... BSN 3-5 Years Med/Surg or Critical Care experience At least 1 year of recent registered nurse dialysis experience Caring for acute and , chronic Hemodialysis and… more
    Veterans Affairs, Veterans Health Administration (08/10/25)
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