• RN Utilization Management

    Trinity Health (Troy, NY)
    …to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital-- Full -TIme TRACK weekends** 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 (11/07/25)
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  • Registered Nurse , Medical Inpatient…

    Bassett Healthcare (Cobleskill, NY)
    …needs. The RN contributes to the support of patients through interdisciplinary teamwork. + Registered Nurse I: The RN I status is only appropriate for a ... + Salary Range: $39.01 - $58.51 per hour + Registered Nurse II: The RN ...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
    Bassett Healthcare (10/29/25)
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  • Registered Nurse - Critical Care…

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …Former EDRP participants ineligible to apply. Responsibilities The Critical Care Registered Nurse is responsible for providing competent, evidence-based care ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
    Veterans Affairs, Veterans Health Administration (11/20/25)
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  • Registered Nurse - Med/Surg

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …application. Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (10/22/25)
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  • Case Manager Registered Nurse - Work…

    CVS Health (Albany, NY)
    …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating… more
    CVS Health (11/23/25)
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  • Utilization Management RN

    CenterWell (Albany, NY)
    …clinical experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...Experience with Home Health preferred + Previous experience in utilization management within Insurance industry a plus… more
    CenterWell (11/26/25)
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  • Utilization Management Clinical…

    CVS Health (Albany, NY)
    …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more
    CVS Health (11/19/25)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
    CVS Health (11/22/25)
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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 (11/24/25)
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  • RN Case Management - Acute Care,…

    Trinity Health (Troy, NY)
    …through Friday - Samaritan HospitalIf you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be your ... **Employment Type:** Full time **Shift:** Day Shift **Description:** We at...in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management more
    Trinity Health (10/30/25)
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  • RN - HIV Medicine Practice

    Albany Medical Center (Albany, NY)
    …America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, NY We ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Nursing program is required* Current NYS license as a Registered Nurse is required* Minimum of 1-2… more
    Albany Medical Center (10/22/25)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (Latham, NY)
    …an accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within ... **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the...CT). **_Virtual:_** This role enables associates to work virtually full -time, with the exception of required in-person training sessions,… more
    Elevance Health (10/04/25)
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  • Nursing RN Case Management - Walk…

    Trinity Health (Troy, NY)
    …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Case Manager...member of our caring, compassionate health care team the RN Case Manager will enjoy:** + Hours are 8am-4pm… more
    Trinity Health (10/30/25)
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  • Nurse Case Manager: Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
    Albany Medical Center (11/25/25)
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  • Public Health Program Nurse (NY Helps)

    New York State Civil Service (Albany, NY)
    …be asked for their social security number to verify eligibility. Current registration as a Registered Nurse ( RN ) with the New York State Education Department ... (NY HELPS) - 47963 Occupational Category Administrative or General Management Salary Grade 24 Bargaining Unit PS&T - Professional,...New York State license and registration as a professional registered nurse AND four years of post-licensure… more
    New York State Civil Service (11/13/25)
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  • Nurse Manager, Outpt

    University of Rochester (Albany, NY)
    …Successful completion of orientation at the unit level required **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse - State Licensure and/or Compact ... is a place where all can thrive. **Job Location ( Full Address):** Remote Work - New York, Albany, New...and directs unit activities including standards development, human resource management , assessment of resource needs and utilization ,… more
    University of Rochester (11/13/25)
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  • Senior Clinical Strategist

    CVS Health (Albany, NY)
    …Operations and others on initiatives for Stars/quality improvement **Required Qualifications** - Registered Nurse with active and unrestricted license in state ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to...the candidate resides - 4+ years of case management experience - 3+ years clinical experience - 1+… more
    CVS Health (11/25/25)
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  • Surgical Core Tech - Full time - 40 hours…

    Albany Medical Center (Albany, NY)
    …and accurately. The Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the OR setting under ... the direction of the OR RN clinical manager(s). Assures surgeons' needs as identified on...as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure… more
    Albany Medical Center (11/03/25)
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  • Medical Management Clinician Associate

    Elevance Health (Latham, NY)
    The **Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information ... **Location:** **Virtual -** This role enables associates to work virtually full -time, with the exception of required in-person training sessions (when indicated),… more
    Elevance Health (11/21/25)
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  • Manager, Business Compliance

    CVS Health (Albany, NY)
    …+ 5-7 years of regulatory and/or clinical audit experience. + Experience in medical management , including Utilization Management (UM) and Case Management ... accreditation processes, and NCQA standards. + Licensed clinical professional ( RN preferred). + Excellent analytical, organizational, and communication skills. +… more
    CVS Health (11/19/25)
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