• RN , Quality Assurance

    University of Rochester (Rochester, NY)
    …- Quality Assurance and Process Improvement (QA/PI) experience preferred LICENSES AND CERTIFICATIONS - RN - Registered Nurse - State Licensure and/or Compact ... primary internal contact for national and state registry data management questions, issues or concerns, but not limited to...State Licensure Current licensure as a Registered Nurse in NYS upon hire required… more
    University of Rochester (11/06/25)
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  • Stat RN Acute Care

    Bassett Healthcare (Cooperstown, NY)
    …optimum health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety ... of inpatient units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care, assist with patient flow, respond to Rapid Response,… more
    Bassett Healthcare (11/07/25)
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  • LPN - Wellness -Strategic Ins Dev - Full Time

    Guthrie (Binghamton, NY)
    …in nursing practice. + Preferred experience with care management / utilization review , and payer knowledge. + RN considered. Education: + Completion of an ... to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in health promotion and...to health promotion and illness prevention, as well as management of chronic conditions. + Educates patients and their… more
    Guthrie (09/26/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
    Molina Healthcare (11/14/25)
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  • Case Manager , RN (FH)

    Northwell Health (Forest Hills, NY)
    …, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge planning, ... Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification, preferred.… more
    Northwell Health (11/07/25)
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  • Healthcare Services Auditor ( RN ) (New…

    Molina Healthcare (Bronx, NY)
    …, and/or managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... and cost-effective member care. Essential Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health,… more
    Molina Healthcare (11/21/25)
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  • Staff RN

    UHS (Norwich, NY)
    Position OverviewThe Registered Nurse ( RN ) or Graduate Nurse (GN) protects, promotes, and optimizes health and abilities, prevention of illness and ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… more
    UHS (11/15/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
    Excellus BlueCross BlueShield (11/20/25)
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  • Bone Marrow Transplant (BMT) Cellular Therapy…

    Mount Sinai Health System (New York, NY)
    …excellent communication and interpersonal skills. + Current license and registration as a Nurse Practitioner OR Professional Registered Nurse in NY State ... - Bone Marrow Transplant (BMT) Cellular Therapy Program Manager ( RN /NP) - Outpatient Oncology - Mount Sinai Hospital -...program manager supervises and directs a designated group of nurse clinical coordinators within the Bone Marrow Transplant and… more
    Mount Sinai Health System (10/23/25)
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  • Staff Nurse ( RN )

    UHS (Norwich, NY)
    …Health Services (UHS) Chenango Memorial Hospital is seeking a compassionate and skilled Staff Registered Nurse ( RN ) or Graduate Nurse (GN) dedicated ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… more
    UHS (09/26/25)
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