• Mgr LTC MDS and Nursing Admin

    Kaleida Health (Buffalo, NY)
    …Weight Requirement - Sedentary (10 lbs)** **Job Details** Department: HPTE SNF Utilization Review Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: No ... **Education And Credentials** **Associate degree in nursing required, bachelor's preferred. RN license required upon hire.** **Experience** **3 years of Long Term… more
    Kaleida Health (06/28/25)
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  • Social Worker - Emergency Department

    Garnet Health (Harris, NY)
    …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... with: law enforcement personnel, EMS, Medical Center security, ED RN staff, and family members. SW Clinician - is...on computer is preferred. Required Certification/Registration: Currently license and registered in NY State to practice as a social… more
    Garnet Health (06/09/25)
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  • Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of...care to MCC in response to physician order, or review of updated clinical information Acts as a resource… more
    Catholic Health Services (07/24/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...on excellent service to others. **Required Qualifications** + Active RN license + Possession of or ability to obtain… more
    CenterWell (08/08/25)
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  • Utilization Management Nurse

    CenterWell (Albany, NY)
    …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain… more
    CenterWell (08/02/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …States of America) Salary Range: $60,028.00 - $99,023.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Nursing program is required* Current NYS license as a Registered Nurse is required* Minimum of 1-2… more
    Albany Medical Center (07/23/25)
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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 (08/01/25)
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  • 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 ... of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases...State Licensure Current licensure as a Registered Nurse in NYS upon hire required… more
    University of Rochester (08/07/25)
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  • RN - Pediatric Endocrinology Office

    Albany Medical Center (Albany, NY)
    …Work Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Full Time Pediatric Endocrine Department ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
    Albany Medical Center (06/13/25)
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  • RN Case Manager - Case Management - Full…

    Guthrie (Corning, NY)
    …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the… more
    Guthrie (06/24/25)
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