• Clinical Appeals Nurse ( RN )

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
    Molina Healthcare (08/02/25)
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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 Care Coordinator PCMH (Patient Centered…

    Guthrie (Corning, NY)
    …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field required. ... 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 (07/25/25)
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  • RN Care Coordinator Transitional Care…

    Guthrie (Corning, NY)
    …leadership and autonomy in nursing practice. Preferred experience with care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... New York and Pennsylvania. The applicant must have a current license as a Professional Registered Nurse in their state of practice prior to the position's start… more
    Guthrie (08/08/25)
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  • Care Manager - Readmission Specialist

    Stony Brook University (Stony Brook, NY)
    Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... may be at a high risk for readmission. The RN following these patients must have good clinical and...of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited… more
    Stony Brook University (07/15/25)
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  • RN -Education Spec-Clin Center for Learning…

    Albany Medical Center (Albany, NY)
    …field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning. * BLS Certification. * Demonstrated ... will be prorated based on hours worked. The Education Specialist is expected to utilize their knowledge and skills...to accomplish the goals of the organization. The Education Specialist achieves this goal through the roles of educator,… more
    Albany Medical Center (06/03/25)
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  • Certified Diabetes Educator

    The Institute for Family Health (Bronx, NY)
    …Must have at least one of the listed licensures/certifications: Current NY State Registered Nurse ( RN ) or Certified Dietitian/Nutritionist (CDN) or Current ... Health Care Description SUMMARY: The Certified Diabetes Care and Education Specialist , in collaboration with the multidisciplinary team and in accordance with… more
    The Institute for Family Health (05/16/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes,...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse more
    STG International (08/08/25)
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  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes,...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse more
    STG International (07/09/25)
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  • Primary Care Physician (PCP)

    STG International (Dunkirk, NY)
    …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes,...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse more
    STG International (07/02/25)
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