- Molina Healthcare (Buffalo, NY)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Buffalo, NY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization...experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Albany, NY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Stony Brook University (Stony Brook, NY)
- Registered Nurse (T&RC) - Critical Care Special Procedures Full Time Evenings **Position Summary** At Stony Brook Medicine, our Registered Nurses are ... for their illnesses and injuries. **Duties of a Registered Nurse may include the following but...Communicates changes in patient's condition and questions regarding patient care to Charge RN / Clinician . +… more
- Stony Brook University (Stony Brook, NY)
- …patients' health and well-being, while adhering to a medical regimen. The RN Supervisor ( Clinician ) functions as the nurse leader of a unit on a given shift. ... RN Supervisor (T&RC) Clinician Electrophysiology Lab...certification preferred. **License:** Current license to practice as a registered nurse in New York State. **… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Registered Nurse ( RN ) provides professional nursing care to patients within the Department of Medicine. The registered nurse ... Department of Medicine + Screen patients, take vital signs, review medication list, assist clinician with exams,... Nurse level of expertise Minimum Qualifications: NYS licensed/ registered RN . Prior experience in an outpatient… more
- Highmark Health (Albany, NY)
- …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more
- Access: Supports For Living (Newburgh, NY)
- Outreach Clinician Location: Newburgh, NY, United StatesDate Posted: Aug 8, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: Newburgh, NY ... Support (SOS) Critical Time Intervention (CTI) Team, the Community Outreach Clinician plays a vital role in supporting individuals experiencing homelessness as… more
- 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 ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- UHS (Johnson City, NY)
- …to apply to join our UHS Med Surg team! Essential Duties & Responsibilities: + Care for patients as primary nurse + Monitoring vital signs and responding when ... Position OverviewAre you passionate about providing exceptional patient care and making a difference in the lives...in upstate New York's Southern Tier, is hiring Staff Registered Nurses to join our Stepdown Unit at UHS… more