• Stony Brook University (Stony Brook, NY)
    Registered Nurse (T&RC) - Discharge RN CTICR Full Time Day **Position Summary** At Stony Brook Medicine, our Registered Nurses are critical members of ... while adhering to a medical regimen. **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
    DirectEmployers Association (11/04/25)
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  • RN Care Review

    Molina Healthcare (NY)
    **JOB DESCRIPTION** The Care Review Clinician ( RN ) provides support for clinical member services review assessment processes. Responsible for ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/14/25)
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  • RN UM Care Review

    Molina Healthcare (Syracuse, NY)
    JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... 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 (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (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 (11/01/25)
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  • Care Review Clinician

    Molina Healthcare (NY)
    For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... 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 (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (NY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Buffalo, 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
    Molina Healthcare (11/13/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Rochester, NY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (10/26/25)
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  • Registered Nurse - Medicine Float…

    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
    SUNY Upstate Medical University (09/28/25)
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  • Registered Nurse

    Planned Parenthood of Greater New York (Queens, NY)
    …nonjudgmental abortion services. When you join PPGNY as a Registered Nurse ( RN ), you will provide direct clinical care across a full spectrum of sexual ... a multi-disciplinary health care team & provides care within New York State RN scope.... Notifies patients of laboratory results and educates regarding clinician plan for follow up. . Screens and follows… more
    Planned Parenthood of Greater New York (10/29/25)
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  • Utilization Review Clinician

    Centene Corporation (New York, NY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... preferred. Experience working with providers and healthcare teams to review care services related to mental health... only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
    Centene Corporation (11/08/25)
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  • Payment Integrity Clinician

    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
    Highmark Health (11/14/25)
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  • Denials Prevention Specialist, Clinician

    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
    Datavant (11/12/25)
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  • Outreach Clinician

    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
    Access: Supports For Living (09/05/25)
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  • Med/Surg Telemetry Staff RN

    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
    UHS (10/23/25)
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  • Assistant Nurse Manager - Monroe…

    Hillside Family of Agencies (Rochester, NY)
    …for an identified caseload of youth and includes performing all clinical functions of a Registered Nurse ( RN ). This is a full-time (40 hours) position, on ... and well-being to youth admitted to assigned programs. + Review health care recommendations from youth's physician...2 years of experience as a Registered Nurse required. SPECIAL REQUIREMENTS + Active, unrestricted RN more
    Hillside Family of Agencies (11/15/25)
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  • Mechanical Circulatory Support Coordinator

    Albany Medical Center (Albany, NY)
    …resolve potential problems to ensure the continuity of appropriate patient care . + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... care based on current practices and technological advances. Review current literature and resources to support new practices....ACLS Upon Hire - required + CCRN - Critical Care Registered Nurse (Adult, Neonatal,… more
    Albany Medical Center (09/20/25)
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  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... patient outcomes within appropriate LOS and financial constraints. + Provides collaborative care management with the primary nurse in assessing for discharge… more
    Albany Medical Center (11/03/25)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …experience preferred. + Experience with EPIC preferred. EDUCATION: BS LICENSES / CERTIFICATIONS: RN - Registered Nurse - New York State Education ... leadership and management skills to promote effective and efficient review of physician documentation and the medical record. +...two years of hire. + Minimum five years acute care experience required. + RN (must be… more
    Rochester Regional Health (10/04/25)
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  • Quality and Patient Safety Analyst

    UHS (Johnson City, NY)
    …visualization software (Tableau, Power BI) preferred. License and Certification Minimum Required + Registered nurse or other clinician Why You'll Love ... provides expertise and data analytics necessary to provide exceptional and safe care from Vizient Clinical Database and the patient incident reporting system. The… more
    UHS (11/04/25)
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