- Molina Healthcare (Albany, 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
- Equinox, Inc (Albany, NY)
- Registered Nurse ( RN ) - PROS Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Part-time Description Equinox is a non-profit human ... long periods of time + Occasional lifting of 20 lbs. Minimum Qualifications: + Registered Nurse ( RN ) certification required, with current licensure in New… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care...and more! GENERAL RESPONSIBILITIES: Using principles of Patient Centered Medical Home (PCMH), the Care Manager ( RN ) ... RN ) will assist in coordination and integration of medical and behavioral health by working with the patient...referrals. + Utilizes a designated patient roster report to review at risk population with providers to prioritize program… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Senior Registered Nurse - Outpatient Medical Oncology - St. Peter's Hospital Full time ... at St. Peter's Hospital. **What you will do:** The ** Registered Professional Nurse ** has the responsibility and...room, takes appropriate vital signs and documents in electronic medical record. + Review and update medication… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Senior Registered Nurse - Women's Cancer Care Associates** If you are looking for an RN ... - Friday Office Hours **What you will do:** The Registered Professional Nurse has the responsibility and...room, takes appropriate vital signs and documents in electronic medical record. Review and update medication list… more
- CVS Health (Albany, NY)
- …Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...setting. + A Registered Nurse that holds an active, unrestricted… more
- New York State Civil Service (Claverack, 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
- YesCare Corp (Coxsackie, NY)
- …+ Work alongside physicians and interdisciplinary team members to initiate and review healthcare plans. + **Communication and Reporting:** + Act as a liaison ... Emergency Care:** + Plan and supervise nursing care techniques and emergency medical responses per facility policies. + Lead CPR procedures during emergencies and… more
- Molina Healthcare (Albany, 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 (Albany, 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
- CDPHP (Latham, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
- 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 ... new protocol feasibility questionnaires with research site information. 4. Review confidentiality forms in conjunction with the ORA and...for PI and Sub Investigators (SI) d. CV and medical license for PI and Sub Investigators (SI) e.… more
- Albany Medical Center (Albany, NY)
- …by assuring communication with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State current license.* Bachelor's ... documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts… more
- Molina Healthcare (Albany, 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 (Albany, 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 (Albany, 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
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, ... 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 (Albany, NY)
- …Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Pediatric Endocrine Department ... the Bernard & Millie Duker Children's Hospital at Albany Medical Center team. We offer a friendly team-oriented work...advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse … more
- Albany Medical Center (Albany, NY)
- …Vascular Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Vascular Surgery Office Work ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required + NYS current RN licensure is required + Minimum 1 year of… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Per Diem (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Per Diem Outpatient Pediatric Specialties 22 ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more