• Utilization Management Nurse

    US Tech Solutions (Hopewell, NJ)
    …case/care management principles. - Prefers working knowledge of principles of utilization management . - Prefers basic knowledge of health care contracts and ... to the continuum of care. Performs duties and types of care management as assigned by management .** **Responsibilities:** 1. Assesses patient's clinical… more
    US Tech Solutions (10/24/25)
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  • Supervisor, Utilization Management

    Centene Corporation (New York, NY)
    …**Must have an active New York State RN license.** **Inpatient Utilization Management ** **Position Purpose:** Supervises Prior Authorization, Concurrent Review, ... Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure… more
    Centene Corporation (11/09/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (New York, NY)
    …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
    Centene Corporation (11/08/25)
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  • Nurse Practitioner-Pediatric Cardiology-…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Job Title - Nurse Practitioner-Pediatric Cardiology - Mount Sinai Hospital - Full Time - Day** A nurse practitioner (NP) as described in ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
    Mount Sinai Health System (11/22/25)
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  • Nurse Practitioner-Hospital Medicine…

    Mount Sinai Health System (New York, NY)
    **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
    Mount Sinai Health System (11/14/25)
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  • Informaticist Registered Nurse

    Veterans Affairs, Veterans Health Administration (New York, NY)
    Summary The Informaticist Registered Nurse (RN) exercises leadership in the assessment, planning, implementation and evaluation of hardware and software applications ... of the following core informatics functions to include content management , application support, health information technology system optimization, enterprise data… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Clinical Nurse -Wound Care-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Job Title: Clinical Nurse -Wound Care-WOCN-Mount Sinai Hospital-FT/Evenings 4pm-12am** The Nurse Clinician is a registered professional ... skills in an area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research + Maintains clinical expertise in area… more
    Mount Sinai Health System (11/22/25)
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  • Registered Nurse - Population Health

    Veterans Affairs, Veterans Health Administration (East Orange, NJ)
    …Documents below. The East Orange VA Medical Center is looking for an experienced Registered Nurse with a focus on Population Health. This nurse is expected to ... with services internal and external to the VA to facilitate management of complex patient populations and facilitate performance improvement. Improve the… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Nurse Practitioner - Bariatric Surgery - St…

    Mount Sinai Health System (New York, NY)
    **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
    Mount Sinai Health System (11/12/25)
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  • Nurse Practitioner - Cardiology CHF - Mount…

    Mount Sinai Health System (Long Island City, NY)
    **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
    Mount Sinai Health System (10/29/25)
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  • Registered Nurse - Interventional Radiology

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …participants ineligible to apply. Responsibilities Interventional Radiology (IR) Registered Nurse (RN) is responsible for providing competent, evidence-based care to ... of licensed vocational nurses/nursing assistants, as appropriate to the setting. The nurse will assist in directing the provision of nursing education, orientation,… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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  • Registered Nurse - Outpatient Mental Health

    Veterans Affairs, Veterans Health Administration (New York, NY)
    …orientation, competencies and providing quality improvement and outcomes utilization consultation. Independently provides patient-centered and recovery-oriented care ... health conditions. Facilitate warm hand-offs, telemental health care, and nurse -led psychoeducational groups; use therapeutic communication techniques, practice de-escalation… more
    Veterans Affairs, Veterans Health Administration (11/20/25)
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  • Clinical Review Nurse - Concurrent Review

    Centene Corporation (New York, NY)
    …findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN -… more
    Centene Corporation (11/16/25)
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  • VPS Psychiatric Nurse Practitioner

    City of New York (New York, NY)
    …CAS Visiting Psychiatric Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision of the Medical ... for independent judgement within NYS licensing guidelines, the VPS Psychiatric Nurse Practitioner is responsible for performing psychiatric evaluations of clients at… more
    City of New York (11/07/25)
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  • Nurse Manager, RN - Cardiovascular Clinic…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Nurse Manager is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is ... not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor...records, internal and external regulatory and survey requirements. The Nurse Manager I collaborates with multiple professionals to support… more
    Mount Sinai Health System (11/01/25)
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  • Nurse Manager, RN - Ambulatory Surgery…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Nurse Manager I is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is ... not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor...records, internal and external regulatory and survey requirements. The Nurse Manager I collaborates with multiple professionals to support… more
    Mount Sinai Health System (10/17/25)
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  • Hospice Registered Nurse - Full Time, Days,…

    Atlantic Health System (Basking Ridge, NJ)
    Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work 8AM- 4PM in the Somerset County area, including ... heavy caseload (up to 4 patients a day); time management skills are essential. However, it is important to...of care for the patient and family Ensures appropriate utilization of services + Maintains visit productivity standards +… more
    Atlantic Health System (10/14/25)
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  • Field Nurse Practitioner (New York, NY)

    Molina Healthcare (New York, NY)
    …post-discharge coordination to reduce hospital readmission rates and emergency room utilization . * Performs face-to-face in-person visits in a variety of settings ... states besides home state based on business need. * Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and… more
    Molina Healthcare (10/31/25)
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  • Chief Nurse Practitioner - Urology

    Weill Cornell Medical College (New York, NY)
    Title: Chief Nurse Practitioner - Urology Location: Upper East Side Org Unit: Clinical Operation Starr and Lefrak Work Days: Monday-Friday Weekly Hours: 35.00 ... next generation of leaders in urological health and science. The Chief Nurse Practitioner will oversee the clinical, educational, and administrative management more
    Weill Cornell Medical College (09/04/25)
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  • Clinical Review Nurse - Prior Authorization

    Centene Corporation (New York, NY)
    …preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (11/15/25)
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