• Medical Review Nurse

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (09/06/25)
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  • Registered Nurse ( RN )…

    Helio Health Inc. (Syracuse, NY)
    …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aPer-Diembasis for ourOutpatient Program. The ... preference for those available to work4:00pm - 7:30pm. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
    Helio Health Inc. (11/05/25)
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  • Registered Nurse ( RN )

    Helio Health Inc. (Syracuse, NY)
    …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aFull-Timebasis for ourElements Program. The ... Registered Nurse ( RN ) will provide comprehensive treatment to...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
    Helio Health Inc. (10/24/25)
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  • Registered Nurse ( RN )…

    Helio Health Inc. (Syracuse, NY)
    …or make referrals for medical services. + Develop, recommend, and review medical policies and procedures for all programs within Helio Health. ... and duties consistent with training and experience. Qualifications + Must be a licensed Registered Nurse currently registered in NY State. + At least… more
    Helio Health Inc. (11/04/25)
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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 monitors ... Registered Nurse level of expertise Minimum Qualifications: NYS licensed/ registered RN . Prior experience in an outpatient setting (specialty area)… more
    SUNY Upstate Medical University (09/28/25)
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  • Registered Nurse -Referral…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …by collaborating with members of the interdisciplinary team. The Referral Coordination Team (RCT) Registered Nurse ( RN ) ) is responsible for executing a ... of the Veteran throughout the consult process. The RCT RN supports the medical center's mission to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (11/04/25)
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  • Care Manager - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …establish the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare it...it to evidence-based guidelines in an effort to ensure medical necessity and appropriate level of care. Pay Range:… more
    Crouse Hospital (10/01/25)
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  • Registered Nurse - Electrophysiology…

    Trinity Health (Syracuse, NY)
    …patients for office visits. Collects accurate data such as history from patient, review of medications, review of systems, and the chief complaint. Responsible ... + Professional Relationships: Strong rapport with the care team of medical assistants, secretaries, LPN, and physician group. + Advancement: Strong orientation… more
    Trinity Health (10/24/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Syracuse, 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 (11/14/25)
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  • Care Review Clinician ( RN )

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

    Molina Healthcare (Syracuse, 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 (11/13/25)
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  • RN UM Care Review Clinician Remote

    Molina Healthcare (Syracuse, 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 (11/13/25)
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  • RN Care Review Clinician Remote

    Molina Healthcare (East Syracuse, 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 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 (11/13/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (Syracuse, 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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  • Care Review Clinician ( RN )

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (11/13/25)
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  • Care Review Clinician ( RN )

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (11/13/25)
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  • Licensed Practical Nurse -Acute Care

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... clearly defined. Recognizes significant changes in patient's condition/response to the Registered Nurse . Accurately documents and retrieves patient information… more
    Veterans Affairs, Veterans Health Administration (11/01/25)
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  • RN Clinical Manager

    CenterWell (Liverpool, NY)
    …of Nursing. + BSN required (NY state requirement) + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... Type** : Hybrid **Branch Location** : Liverpool, NY The ** RN Clinical Manager** coordinates and oversees all direct care...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (09/27/25)
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  • Licensed Practical Nurse - Specialty…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …information. Completed work [should need] only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... Medical Center is seeking a Licensed Practical Nurse to work Specialty Clinics .The Licensed Practical ... works under the direction and supervision of the registered nurse and displays knowledge and ability… more
    Veterans Affairs, Veterans Health Administration (11/07/25)
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  • Licensed Practical Nurse - Community Living…

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …information. Completed work [should need] only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... Summary The Licensed Practical Nurse -CLC Delivers fundamental, knowledge-based care to assigned patients...the resident's condition. Completed work needs only a general review by a RN for technical soundness,… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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