• RN Care Review

    Molina Healthcare (Bronx, NY)
    JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for clinical member services review assessment processes. Responsible ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/04/25)
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  • RN UM Care Review

    Molina Healthcare (Yonkers, NY)
    JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Yonkers, 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 ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...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

    Molina Healthcare (Yonkers, 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 ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Yonkers, NY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (11/13/25)
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  • Care Review Clinician

    Molina Healthcare (Yonkers, NY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... 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 , PA…

    Molina Healthcare (Yonkers, 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 (10/18/25)
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  • Registered Nurse

    Planned Parenthood of Greater New York (Queens, NY)
    …nonjudgmental abortion services. When you join PPGNY as a Registered Nurse ( RN ), you will provide direct clinical care across a full spectrum of sexual ... a multi-disciplinary health care team & provides care within New York State RN scope.... Notifies patients of laboratory results and educates regarding clinician plan for follow up. . Screens and follows… more
    Planned Parenthood of Greater New York (10/29/25)
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  • Registered Nurse , Ambulatory- Full…

    Atlantic Health System (Martinsville, NJ)
    …on acuity. Reviews and appropriately responds to patient messages, in collaboration with clinician (s). + RN should triage all calls as needed. Responsible for ... This RN will be primarily responsible for utilizes nursing...Promotes better patient outcomes by reviewing open gaps of care and coordinating closure of care gaps.… more
    Atlantic Health System (11/10/25)
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  • Utilization Review Clinician

    Centene Corporation (New York, NY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... preferred. Experience working with providers and healthcare teams to review care services related to mental health... only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
    Centene Corporation (11/08/25)
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  • ASSURE Patient Specialist - Monmouth/Middlesex…

    Kestra Medical Technologies, Inc (Piscataway, NJ)
    …+ Knowledge of MS Office, Excel, PowerPoint, MS Teams + Direct cardiac patient care experience - RN , RT, CVIS, Paramedic, CRM WORK ENVIRONMENT + Variable ... comfort and dignity. Innovating versatile new ways to deliver care , Kestra is helping patients and their care...the patient to determine the correct garment size + Review and transmit essential paperwork with the patient to… more
    Kestra Medical Technologies, Inc (09/13/25)
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