• Clinical Reviewer , Nurse

    Evolent (Albany, NY)
    …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
    Evolent (12/03/25)
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  • RN Medical Review Nurse

    Molina Healthcare (Albany, NY)
    **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... Michigan RN license is required. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
    Molina Healthcare (12/03/25)
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  • RN - Clinical Research Nurse - NE

    Albany Medical Center (Albany, NY)
    …study mediation to the patient or set up/schedulemedication infusions or coordinate with nurse to administer study medication injection. 16. Review oral study ... Diem (United States of America) Salary Range: $78,773.63 - $122,099.12 The clinical research coordinator is responsible for the organization and management of… more
    Albany Medical Center (11/21/25)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department...payor criteria and issues and a case-by-case basis with clinical staff and follows up to resolve problems with… more
    Albany Medical Center (12/03/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Albany, NY)
    **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests ... Central time Remote position **Essential Job Duties** * Performs clinical / medical reviews of previously denied cases in...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
    Molina Healthcare (11/14/25)
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  • Clinical Nurse III - Preadmissions…

    Albany Medical Center (Albany, NY)
    …invasive procedures to evaluate their physical and emotional readiness. + Review patients' medical histories, including pre-existing conditions, allergies, ... Day (United States of America) Salary Range: $0.00 - $0.00 A Pre-Admission Testing Nurse plays a crucial role in ensuring the safe and efficient preparation of… more
    Albany Medical Center (11/06/25)
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  • Registered Nurse , Medical Inpatient…

    Bassett Healthcare (Cobleskill, NY)
    …Schoharie County and the surrounding region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable ... accredited by The Joint Commission. CRH provides inpatient care for general medical conditions, an inpatient short-term rehabilitation unit, and more than 20… more
    Bassett Healthcare (10/29/25)
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  • Senior Registered Nurse - Outpatient…

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Senior Registered Nurse - Outpatient Medical Oncology - St. Peter's Hospital Full time - 4 ... Brings patient to exam room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication list to ensure accurate and… more
    Trinity Health (11/18/25)
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  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or ... management to coordinate the appropriate use of resources to achieve maximum clinical and financial outcomes. The Case Manager participates in maintaining quality… more
    Albany Medical Center (11/25/25)
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  • Nurse Practitioner - Academic Home Based…

    Albany Medical Center (Albany, NY)
    …$0.00 - $0.00 Position Summary We are seeking a dedicated and compassionate Nurse Practitioner (NP) to join our academic home-based primary care practice, serving ... home visits, telehealth support, and the management of chronic and acute medical conditions, with a strong emphasis on geriatric syndromes, care coordination, and… more
    Albany Medical Center (10/04/25)
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  • Registered Nurse , Acute Care II

    Bassett Healthcare (Cobleskill, NY)
    …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
    Bassett Healthcare (10/29/25)
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  • New Graduate Nurse

    Fresenius Medical Center (Albany, NY)
    …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more
    Fresenius Medical Center (11/19/25)
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  • Registered Nurse I, Acute Care - ASU RN

    Bassett Healthcare (Cobleskill, NY)
    …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care ... and job description is only appropriate for a new nurse in the first year of practice, as support...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. +… more
    Bassett Healthcare (10/29/25)
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  • Mobile Nurse Practitioner - Per Diem,…

    IQVIA (Albany, NY)
    Mobile Nurse Practitioner - Per Diem, In-Home Services **Location:** Various US locations (local travel within designated geographic area) **About the Role:** ... IQVIA's In-Home Clinical Solutions team seeks a qualified and dedicated Mobile Nurse Practitioner to support patient care by delivering in-home diagnostic… more
    IQVIA (10/04/25)
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  • Nurse Manager - Outpatient Cardiology…

    Trinity Health (Albany, NY)
    …Cardiology Office - Albany, NY - FT - Days** If you are looking for a Clinical Nurse Manager position in an Outpatient Cardiology practice, this could be your ... allowance and career development **What you will do:** The Nurse Manager of Clinical Care is directly...ACLS certification + Minimum of ten years demonstrated professional clinical leadership. + Significant electronic medical record… more
    Trinity Health (09/26/25)
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  • Senior Registered Nurse - Women's Cancer…

    Trinity Health (Albany, NY)
    …Brings patient to exam room, takes appropriate vital signs and documents in electronic medical record. Review and update medication list to ensure accurate and ... Type:** Full time **Shift:** Day Shift **Description:** **Senior Registered Nurse - Women's Cancer Care Associates** If you are...complete list in electronic medical record (EMR) available for provider review more
    Trinity Health (11/05/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Albany, NY)
    …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
    Datavant (11/11/25)
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  • Registered Nurse 1 (NY Helps)

    New York State Civil Service (Claverack, NY)
    …medication administrationMaintain inventory standards for medication, controlled substances, medical supplies.Participate in staff trainingPrepare clinical and ... summaries.Provide medication administrationMaintain inventory standards for medication, controlled substances, medical supplies.Participate in staff trainingPrepare clinical and… more
    New York State Civil Service (10/25/25)
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  • Practical Nurse - Specialty Clinics

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …and record relevant] patient information. Completed work [should need] only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... condition, collecting objective and subjective data. Collaborating with the Registered Nurse /Provider in developing and implementing a plan of care individualized to… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Clinical Consultant, MI - I

    Fujifilm (Albany, NY)
    **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
    Fujifilm (12/02/25)
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