• One Medical (New York, NY)
    …collaboration with both virtual and in-office teammates via daily huddles Utilization of your specific clinical training and opportunities to give exceptional ... care to patients virtually Education, licenses, and experiences required for this role: Completed an accredited FNP program with a national certification In the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary… more
    job goal (12/31/25)
    - Related Jobs
  • Registered Nurse (RN) - Utilization

    Rochester Regional Health (Rochester, NY)
    Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial management as… more
    Rochester Regional Health (12/31/25)
    - Related Jobs
  • Registered Nurse Utilization Review…

    Catholic Health (Kenmore, NY)
    …Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle ... and families in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with the interdisciplinary team to… more
    Catholic Health (12/17/25)
    - Related Jobs
  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. * ... Completes Utilization Management and Quality Screening for assigned patients.* Applies...Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State current license.* Bachelor's… more
    Albany Medical Center (12/03/25)
    - Related Jobs
  • Clinical Registered Nurse

    Cognizant (Albany, NY)
    …background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan + 3 years' experience in ... to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical… more
    Cognizant (12/23/25)
    - Related Jobs
  • Registered Nurse - Med/Surg

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …education, orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and ... EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to… more
    Veterans Affairs, Veterans Health Administration (10/22/25)
    - Related Jobs
  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …a changing environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve… more
    Albany Medical Center (12/06/25)
    - Related Jobs
  • Admissions Registered Nurse

    Northwell Health (Sleepy Hollow, NY)
    …patient transfer to inpatient bed and ensures hand off communication to accepting nurse . + Promotes optimum utilization of hospital beds by conducting rounds ... of Nursing required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. +… more
    Northwell Health (12/20/25)
    - Related Jobs
  • Utilization Review Coordinator, (NY Helps),…

    New York State Civil Service (Syracuse, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category Health Care, ... 13210 Duties Description Hutchings Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
    New York State Civil Service (12/25/25)
    - Related Jobs
  • Utilization Management Representative II

    Elevance Health (Latham, NY)
    ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
    Elevance Health (12/31/25)
    - Related Jobs