• Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and… more
    Excellus BlueCross BlueShield (11/20/25)
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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 ... treatment. You will uphold all professional standards, including the New York State Nurse Practice Act and UHS policies, while fostering a caring and healing… more
    UHS (09/26/25)
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  • Director of Patient Services, Homecare RN

    The New Jewish Home (Bronx, NY)
    …job functions.) Job Qualifications: + Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in Nursing. + ... and procedures. o Monitors quality of care delivered by staff through record review , conferences, supervisory visits and review of aggregated data. o… more
    The New Jewish Home (10/17/25)
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  • Case Manager RN - Per Diem

    Nuvance Health (Carmel, NY)
    …Quality Improvement Program (MBSAQIP) * Robotic Center of Excellence - Surgical Review Corporation (SRC) At Putnam Hospital, our team members value open ... Putnam Pride is all about. *Summary* The Case Manager RN , working in conjunction with the centralized denial prevention...of efficient, high-quality care. This position ensures the appropriate utilization of clinical resources with a goal of a… more
    Nuvance Health (11/18/25)
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  • RN Ambulatory Per diem Outpatient Pediatric…

    Albany Medical Center (Albany, NY)
    …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), the ... or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests...Registered Nursing program is required * NYS current RN licensure to practice professional nursing is required *… more
    Albany Medical Center (09/18/25)
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  • RN -Ambulatory

    Albany Medical Center (Albany, NY)
    …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), the ... or APP and documents results in EHR * Performs review and triage of incoming test results, patient requests...Registered Nursing program is required * NYS current RN licensure to practice professional nursing is required *… more
    Albany Medical Center (11/03/25)
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  • Logistics RN Bed Management

    Bassett Healthcare (Cooperstown, NY)
    …nursing experience, required Licensure/Certifications: + Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: + Light work: ... of life possible. What you'll do The Logistics C3 RN is responsible for appropriate placement for patient admissions,...a bariatric bed, special equipment, interpreter svc, etc.). + Review previous patient history and updates CL with key… more
    Bassett Healthcare (11/03/25)
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  • Clinical Review Nurse - Concurrent…

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
    Centene Corporation (11/16/25)
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  • Clinical Review Nurse - Prior…

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care +… more
    Centene Corporation (11/15/25)
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  • Denials Prevention Specialist, Clinician PRN

    Datavant (Albany, NY)
    …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
    Datavant (11/12/25)
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