• 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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  • 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 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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  • Utilization Management Nurse

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (10/22/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Albany, NY)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required... Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management more
    Molina Healthcare (10/22/25)
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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 (10/18/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Albany, NY)
    …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
    Molina Healthcare (10/17/25)
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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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  • 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 (10/17/25)
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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 (10/16/25)
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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 (10/17/25)
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  • Regional Administrative Director- Oncology-…

    Trinity Health (Albany, NY)
    …and financial priorities. + In collaboration with financial, medical group, and acute care leadership, support the capital planning process for future Oncology ... trends and opportunities for improvement. In collaboration with the medical group, acute care, and provider engagement leaders, develop and implement strategies to… more
    Trinity Health (10/02/25)
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