• Psychiatric Nurse Practitioner, ACT

    Northern Rivers Family Services (Queensbury, NY)
    …collaborate with county and community partners, and participate in any quality audit and utilization review + Provide on-site/community based/home visits, ... Type Full Time Travel Percentage Up to 25% Category Nurse Description Psychiatric Nurse Practitioner - Assertive Community Treatment New Hire Retention Bonus… more
    Northern Rivers Family Services (01/07/26)
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  • Medical Review Nurse (RN)- Remote

    Molina Healthcare (Buffalo, NY)
    …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. + ... of payment decisions. + Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. + Provides training and… more
    Molina Healthcare (01/09/26)
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  • Flight Nurse

    Mercy Flight Central (Canandaigua, NY)
    FLIGHT NURSE Canandaigua, NY (http://maps.google.com/maps?q=2420+Brickyard+Road+Canandaigua+NY+USA+14424) * Air Medical Apply Description Job Summary: Utilizing ... and modification of care plan throughout patient transfer. + Utilization of Medical control for deviations of MFC Standards...years ED or ICU experience + Certified Flight Registered Nurse (CFRN) within one year of hire + Maintain… more
    Mercy Flight Central (01/10/26)
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  • Registered Nurse Case Manager I - Home Care

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse Case Manager IDepartment: Home Care Location: Monroe County Hours Per Week: 40Schedule: Days Sign-On Bonus: $20,000 SUMMARY: The RN Case ... Level II + Manages larger and more complex caseloads with effective service utilization and independent decision-making. + Acts as a mentor and informal leader,… more
    Rochester Regional Health (12/23/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and ... agencies such as IPRO, The Joint Commission Regional and Medical Audit Contractors, and other licensing, accrediting, or review agencies. -Provides regular… more
    BronxCare Health System (11/15/25)
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