- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Helio Health Inc. (Rochester, NY)
- …behavioral healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on a Full-Time basis for our Rochester ... Inpatient Program. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- Episcopal SeniorLife Communities (Rochester, NY)
- …with staff, residents, family members, visitors, vendors and the general public. + Current registered RN nurse licensure in New York. EXPERIENCE: + Five ... Registered Nurse Manager - RN... Registered Nurse Manager - RN ROCHESTER, NY... of EMR to ensure they are accurate. + Review pharmacy consultant reports with the medical … more
- East House Corporation (Rochester, NY)
- …a supportive environment that promotes healing and long-term recovery. The Part-Time Registered Nurse ( RN ) oversees medication management compliance and ... Requirements Qualifications Preferred Skills/Abilities: *Licensed and currently registered as a Registered Nurse ( RN ) in New York State *Behavioral… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... + Enhanced Shift Differentials + Employee Discount Programs + Free Parking As a Registered Nurse Level IV, you will leverage your clinical expertise and… more
- Elderwood (Monroe County, NY)
- Salary Starting at 85,000 / Year Overview Elderwood IPA is seeking a Registered Nurse to join our incredible growing team as either an Assessment Nurse or ... Substantial Referral program Responsibilities In the role of a Registered Nurse , You will partner with the...person-centered service plan based on a needs' assessment + Review financial, legal, or medical issues and… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... and work a holiday every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager, your excellent interpersonal, leadership and collaboration… more
- University of Rochester (Rochester, NY)
- …UNTIL DECEMBER 31, 2025; WITH POSSIBLE RENEWAL PENDING GRANT POSITION SUMMARY: The Pediatric Registered Nurse ( RN ) will work daily to implement interventions ... data collection skills. On occasion, this position may require travel to private medical offices and Urgent Care facilities in the Rochester area to enroll potential… more
- BioLife Plasma Services (Rochester, NY)
- …requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse ( RN ), Nurse Practitioner (NP) or ... the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to...eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of… more
- Vatica Health (Rochester, NY)
- …+ Minimum of 3 years of recent adult health clinical experience as a Registered Nurse ( RN )- preferably in critical care (ie, ICU/CCU/MICU) and/or ... Are you an RN looking for a career opportunity in healthcare...and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required. + Minimum… more
- New York State Civil Service (Rush, NY)
- NY HELP Yes Agency Children & Family Services, Office of Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... to ensure quality patient careAct as health liaisonCoordinate and schedule medical follow-up, including completion of consultations.Provide first aid and emergency… more
- Molina Healthcare (Rochester, 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 (Rochester, 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 (Rochester, 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 (Rochester, 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 (Rochester, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Villa of Hope (Rochester, NY)
- …JOB SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... suicidal behaviors or leaving against medical advice. MINIMUM QUALIFICATIONS: + NYS Registered Nurse license + Bachelor degree preferred + At least 3 years… more
- University of Rochester (Rochester, NY)
- …- Quality Assurance and Process Improvement (QA/PI) experience preferred LICENSES AND CERTIFICATIONS - RN - Registered Nurse - State Licensure and/or Compact ... and data management activity timeliness. Concurrently and retrospectively reviews medical records and data to identify patient care, process,...State Licensure Current licensure as a Registered Nurse in NYS upon hire required… more