• Yale New Haven Health (Pearl River, NY)
    …Patient Throughout The Perioperative Experience. Performs Scrub And Related Duties With A Registered Nurse . Is Responsible For The Immediate Sterile Field And ... Of Practice. 14. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
    Talent (10/13/25)
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  • Utilization Review Registered

    Centene Corporation (New York, NY)
    …requires NY RN Licensure as well as a State Issued NY ID.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for ... requiring authorization. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care… more
    Centene Corporation (10/15/25)
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  • Registered Nurse 1 Psychiatric (NY…

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , ... York State NY Zip Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily … more
    New York State Civil Service (08/14/25)
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  • Nurse Practitioner Utilization

    Hackensack Meridian Health (Hackensack, NJ)
    …Preferred: 1. Not Applicable. Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advanced Nurse Practitioner (w/ ... **The Advanced Practice Nurse (APN) utilizes a patient-centered coordinated care model,...program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing… more
    Hackensack Meridian Health (10/10/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Manhattan Psychiatric Center, P27078 Occupational Category Health ... Code 10035 Duties Description Manhattan Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
    New York State Civil Service (10/02/25)
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  • Registered Nurse

    City of New York (New York, NY)
    …required; make professional recommendations accordingly. - Keep abreast of medical and utilization review techniques and developments relative to the nursing ... Nurse in the Bureau of Medical and Professional Review (BMPR) of Home Care Services Program. As the...- 50935 Qualifications 1. A valid New York State Registered Nurse License and completion of one… more
    City of New York (09/27/25)
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  • Registered Nurse - Surgical ICU

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …EDRP participants ineligible to apply. Responsibilities The Surgical Intensive Care Registered Nurse (RN) is responsible for providing competent, evidence-based ... 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 (10/08/25)
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  • Clinical Manager Registered Nurse

    Fresenius Medical Center (New York, NY)
    …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient ... closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager, the Medical Director, and the… more
    Fresenius Medical Center (09/12/25)
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  • Registered Nurse Case Manager

    Northwell Health (Mount Kisco, NY)
    …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
    Northwell Health (10/04/25)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    …implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical ... the New York State Department of Education, as a registered professional nurse . Training and Experience: three...of which must have been in the area of utilization review , quality assurance, risk management or… more
    WMCHealth (10/07/25)
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  • Asst Utilization Coordinator

    WMCHealth (Valhalla, NY)
    …implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical ... the New York State Department of Education, as a registered professional nurse . Training and Experience: three...of which must have been in the area of utilization review , quality assurance, risk management or… more
    WMCHealth (09/12/25)
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  • Respiratory Registered Nurse

    Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
    …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse (RN) We are searching for a highly motivated,...communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development… more
    Glengariff Rehabilitation and Healthcare Center (09/21/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Yonkers, NY)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (08/22/25)
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  • Clinical Review Nurse - Prior…

    Centene Corporation (New York, NY)
    …+ LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: $26.50 - $47.59 per hour Centene ... criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care +… more
    Centene Corporation (10/05/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Yonkers, NY)
    …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
    Molina Healthcare (09/06/25)
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  • Nurse Practitioner-Cardiovascular Institute…

    Mount Sinai Health System (New York, NY)
    …Additional Detail** + Licensure: New York State License with current registration as a registered nurse . + State Certification: Certified by the New York State ... the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
    Mount Sinai Health System (10/11/25)
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  • Nurse Practitioner - Cancer Center - Mount…

    Mount Sinai Health System (Long Island City, NY)
    …REQUIREMENTS** Licensure: New York State License with current registration as a registered nurse . State Certification: Certified by the New York State ... as follows: a.Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR...the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion… more
    Mount Sinai Health System (09/23/25)
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  • Nurse Practitioner - Klingenstein 3 NICU…

    Mount Sinai Health System (New York, NY)
    …Additional Detail** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
    Mount Sinai Health System (09/26/25)
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  • VPS Psychiatric Nurse Practitioner

    City of New York (New York, NY)
    …requirement above, candidates must have three years of full-time satisfactory experience as a Registered Nurse , two of which must have been in a supervisory ... with the referring agency and the client's caseworker. 2. Review all available clinically relevant material, including referral information,...have three years of full-time satisfactory experience as a Registered Nurse , one of which must have… more
    City of New York (08/08/25)
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  • Care Review Clinician, PA (RN)

    Molina Healthcare (Yonkers, NY)
    …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
    Molina Healthcare (09/05/25)
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