• RN Utilization Management

    Trinity Health (Albany, NY)
    …is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) per diem. The team is willing to help train ... **Employment Type:** Part time **Shift:** Day Shift **Description:** ** RN for Utilization Management ...work each semester + 2 years of experience in acute setting or one year in community health **Preferred… more
    Trinity Health (10/07/25)
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  • Professional, Sub- Acute RN UM…

    MVP Health Care (Schenectady, NY)
    …3 years of clinical nursing experience + At least 2 years of experience in utilization management of sub- acute Medicare reviews + Experience with Medicare ... improvement. To achieve this, we're looking for a **Professional, Sub- Acute RN UM Reviewer - Medicare** to...interaction **Your key responsibilities:** + Conduct timely and accurate utilization reviews for sub- acute Medicare cases. +… more
    MVP Health Care (09/30/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Amsterdam, NY)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Fresenius Medical Center (09/27/25)
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  • RN Utilization Management

    Trinity Health (Albany, NY)
    …often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme Days** If ... you are looking for an RN position in Case Management and a...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
    Trinity Health (09/30/25)
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  • RN Case Management - Acute

    Trinity Health (Troy, NY)
    …through Friday - Samaritan HospitalIf you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be your ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance Great shift...acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management more
    Trinity Health (10/01/25)
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  • RN Utilization Management

    Trinity Health (Albany, NY)
    **Employment Type:** Part time **Shift:** 12 Hour Day Shift **Description:** ** RN Utilization Management -Per diem** If you are looking for an RN ... accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for...need:** + **Minimum requirements:** + Current and valid NYS RN license + Bachelor of Science in nursing, or… more
    Trinity Health (10/07/25)
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  • Leader, Concurrent Review

    MVP Health Care (Schenectady, NY)
    …+ Minimum 4 years of clinical nursing experience. + At least 2 years in utilization management sub- acute care review. + 2+ years of supervisory experience ... **Qualifications you'll bring:** + Current and unrestricted NY, VT RN license. + Associate or bachelor's degree in nursing...+ Strong understanding of concurrent review, sub- acute care, rehabilitation, and skilled nursing services. + Knowledge… more
    MVP Health Care (09/30/25)
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  • Utilization Review Nurse

    CDPHP (Latham, NY)
    …required. + Minimum two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
    CDPHP (09/23/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Albany, 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.... Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management more
    Molina Healthcare (09/05/25)
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  • Care Review Clinician ( RN ) (Must reside…

    Molina Healthcare (Albany, NY)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At least 2… more
    Molina Healthcare (10/02/25)
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  • RN Patient Logistics - M-F FT @St Peters…

    Trinity Health (Albany, NY)
    …Hospital in Albany, NY** is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time days. ... of our caring, compassionate health care professionals the **selected RN ** will enjoy: + Great shift differentials + Be...**Preferred requirements:** + 1+ year of experience in case management or utilization management +… more
    Trinity Health (10/02/25)
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  • RN -Manager - FT- Sunnyview Rehab…

    Trinity Health (Schenectady, NY)
    …preferred or obtained within 2 years of hire. + Previous experience in nurse management required Our compassionate staff is there with up-to-the-minute treatment ... Director of Nursing. ​ **What you will need:** + Current New York State Registered Professional Nurse licensure (The Program Nurse Manager requires… more
    Trinity Health (09/17/25)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination ... of care activities, and assist in utilization management activities under the direction of a registered... management activities under the direction of a registered nurse and/or social worker. Responsibilities include… more
    Ellis Medicine (08/28/25)
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  • Administrative Clinical Supervisor

    Ellis Medicine (Schenectady, NY)
    …EDUCATION AND EXPERIENCE REQUIREMENTS: + Currently licensed in New York State as a Registered Nurse and a graduate of an approved school of nursing. + ... + The Administrative Clinical Supervisor will work collaboratively with the DON and Nurse Managers to assure effective and efficient utilization of staff and… more
    Ellis Medicine (09/26/25)
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  • Nurse Case Manager, Per Diem

    Albany Medical Center (Albany, NY)
    …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... health care team and develops strategies for variance reduction. Minimum Qualifications:* Registered nurse with a current license.* Bachelor's degree preferred… more
    Albany Medical Center (09/25/25)
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  • Nurse Manager

    Ellis Medicine (Niskayuna, NY)
    …standards and regulatory requirements. Requirements: Currently licensed in New York State as a Registered Nurse and a graduate of an approved school of nursing. ... Basic Function: The Nurse Manager (NM) actualizes the vision, mission and...preferred or in progress. Three (3)- five (5) years' acute care experience preferred. Excellent interpersonal relationships, effective communication… more
    Ellis Medicine (07/16/25)
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  • Field Nurse Practitioner (Pocatello, ID)

    Molina Healthcare (Albany, NY)
    …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... for gaps in care and preventive assessments. * Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. *… more
    Molina Healthcare (09/25/25)
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  • Field Nurse Practitioner (Boise, ID)

    Molina Healthcare (Albany, NY)
    …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary...care and preventative assessments + Address both chronic and acute primary care complaints, and able to ascertain medical… more
    Molina Healthcare (09/17/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This...the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration… more
    Ellis Medicine (09/11/25)
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  • Case Manager at St Peters Hospital - All Shifts…

    Trinity Health (Albany, NY)
    …in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management certification ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Posting ** RN Case Manager** **Full-Time - Monday-Friday Days or Evening,...Engage the patient and care team in the joint management of key patient outcomes such as management more
    Trinity Health (07/18/25)
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