• Care Review Clinician, Prior Authorization

    Molina Healthcare (Albany, NY)
    …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse...Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
    Molina Healthcare (09/18/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Amsterdam, NY)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Fresenius Medical Center (09/27/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Yonkers, NY)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (08/22/25)
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  • Registered Nurse Care…

    Catholic Health (Buffalo, NY)
    …(2) years acute care RN experience required + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease ... and families in the hospital setting. Utilizing foundational case management and discharge planning principles, the RN ...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
    Catholic Health (09/25/25)
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  • Registered Nurse II, Acute Care…

    Bassett Healthcare (Cooperstown, NY)
    …experience as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ ... Certification: + Current NYS license as a Registered Nurse , required + BLS certification will...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
    Bassett Healthcare (09/25/25)
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  • Registered Nurse I, Acute Care…

    Bassett Healthcare (Cobleskill, NY)
    …Experience: + New graduate or less than one year of experience as a Registered Nurse , required License/ Certification: + NYS licensure as Registered ... County and the surrounding region" What you'll do The Registered Professional Nurse I, Acute Care is...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule. + ( RN more
    Bassett Healthcare (09/09/25)
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  • Assistant Director of Case Management

    Stony Brook University (Stony Brook, NY)
    …+ Coordinates the design, development, implementation and monitoring of the organizations case management and utilization review functions. + Manages daily ... but are not limited to:** + Responsible for addressing Utilization management , denials and appeal, discharge and...Qualifications:** * Possession of license to practice as a registered nurse in New York State. *… more
    Stony Brook University (09/23/25)
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  • Registered Nurse Care Manager…

    Catholic Health (Kenmore, NY)
    …Yes Work Schedule: Days with Weekend and Holiday Rotation Hours: 0800-1800 Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an active ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of… more
    Catholic Health (09/03/25)
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  • Registered Nurse Case Manager II…

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... + Practices according to Agency and community standards + Participates in utilization review and/or continuous quality improvement activities as requested. +… more
    Rochester Regional Health (09/23/25)
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  • Registered Nurse - Med/Surg

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …application. Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (09/23/25)
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