• Intake Coordinator- RN Lhtc/ Evenings

    Villa of Hope (Rochester, NY)
    …JOB SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... director of LHTC and administrative team, including billing and utilization review . + Triages potential admissions and...or leaving against medical advice. MINIMUM QUALIFICATIONS: + NYS Registered Nurse license + Bachelor degree preferred… more
    Villa of Hope (05/03/25)
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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 (05/03/25)
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  • Registered Nurse Case Manager…

    Northwell Health (Huntington, NY)
    **Req Number** 152919 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
    Northwell Health (05/14/25)
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  • Registered Nurse Clinical Care…

    Northwell Health (Bay Shore, NY)
    …Degree in Nursing or related field, preferred. + Current license to practice as a Registered Professional Nurse in New York State. + Minimum of two (2) years ... to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases...as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as… more
    Northwell Health (05/17/25)
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  • Registered Nurse - 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...facilitates call-backs to patients as necessary + Facilitates the utilization of resources to meet patient outcomes and contribute… more
    Albany Medical Center (04/26/25)
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  • Investigator, SIU RN

    Molina Healthcare (Albany, NY)
    …abuse through the identification of aberrant coding and/or billing patterns through utilization review . * Incorporate leadership and communication skills to work ... care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED… more
    Molina Healthcare (04/20/25)
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  • Director of Care Management and Nursing Logistics

    Catholic Health Services (Smithtown, NY)
    …Nursing (BSN) degree required Master of Science degree strongly preferred Licensure: New York Registered Nurse ( RN ) License & Registration Salary Range USD ... with Hospital Conditions of Participation. Implement case management programs, including utilization review , intake or discharge planning. Evaluate patient care… more
    Catholic Health Services (05/07/25)
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  • MDS Coordinator RN

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in… more
    Glengariff Rehabilitation and Healthcare Center (04/22/25)
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  • RN Care Coordinator PCMH (Patient Centered…

    Guthrie (Johnson City, NY)
    …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse with 5 years' experience, preferably in an ... applicant must have a current license as a Professional Registered Nurse in their state of practice...in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced… more
    Guthrie (05/06/25)
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  • Registered Nurse Case Manager

    Northwell Health (Mount Kisco, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
    Northwell Health (05/01/25)
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