- Molina Healthcare (Albany, NY)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Helio Health Inc. (Gloversville, NY)
- …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aFull-Timebasis for ourFulton Co Comprehensive ... Outpatient Program. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- Equinox, Inc (Albany, NY)
- Registered Nurse ( RN ) - PROS Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Part-time Description Equinox is a non-profit human ... long periods of time + Occasional lifting of 20 lbs. Minimum Qualifications: + Registered Nurse ( RN ) certification required, with current licensure in New… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care...and more! GENERAL RESPONSIBILITIES: Using principles of Patient Centered Medical Home (PCMH), the Care Manager ( RN ) ... RN ) will assist in coordination and integration of medical and behavioral health by working with the patient...referrals. + Utilizes a designated patient roster report to review at risk population with providers to prioritize program… more
- Tarrytown Rehabilitation & Nursing Center (Johnstown, NY)
- …of Science in Nursing (preferred) . Current registration and license to practice as a Registered Nurse in the state employed in . Peripheral IV certification . ... Weekend RN - 8 or 12 hour shift position We...and evaluate each resident's physical and emotional status . Review the nurse 's notes to ensure that they… more
- New York State Civil Service (Corinth, NY)
- …and developing a plan for correcting any deficiencies found. The Registered Nurse Supervisor 1 will participate the Medical Consent Committee. The ... Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse Supervisor 1 Occupational Category Health...assigned. * Preference for a skill set comparable to medical / surgical nurse or similar experience to… more
- Cognizant (Albany, NY)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...the medical necessity determinations to the Health Plan/ Medical Director based on the review of… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Senior Registered Nurse - Women's Cancer Care Associates** If you are looking for an RN ... - Friday Office Hours **What you will do:** The Registered Professional Nurse has the responsibility and...room, takes appropriate vital signs and documents in electronic medical record. Review and update medication list… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Registered Nurse - Endocrinology - Albany, NY** If you are looking for a Hybrid RN II ... - Friday Office Hours **What you will do:** The ** Registered Professional Nurse ** has the responsibility and...room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication… more
- New York State Civil Service (Schenectady, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse 1 Occupational Category Health Care, Human/Social Services Salary ... the Electronic Health Record, to be sent to the medical director/designee for review and approval. *...have a license and a current registration as a registered professional nurse in New York State.… more
- Elevance Health (Latham, NY)
- …unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or challenging cases ... ** Medical Management Nurse ** **Hours: Candidates will...and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of… more
- Northern Rivers Family Services (Albany, NY)
- …Salary Range $40.00 - $40.00 Hourly Travel Percentage Negligible Description As a Registered Nurse , you will provide nursing care and services to a ... the residents + Case management of outside provider visits ( medical and dental) including annual assessments + Review...in New York State + CPR Certification required. + Registered Nurse 1-2 years' experience preferred +… more
- Molina Healthcare (Albany, NY)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
- Molina Healthcare (Albany, 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 ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Albany, 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 ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Albany, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
- Molina Healthcare (Albany, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- 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. **Preferred… more
- Molina Healthcare (Albany, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- CDPHP (Latham, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more