- Molina Healthcare (Rochester, 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 (Rochester, NY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Rochester, NY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Rochester, 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
- MVP Health Care (Rochester, NY)
- At MVP Health Care , we're on a mission to create a healthier... clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse ( RN ) required + New ... to join #TeamMVP. If you have a passion for healthcare, improving access to care , enhancing quality and compliance this is the opportunity for you. **What's in it… more
- Hillside Family of Agencies (Rochester, NY)
- …for an identified caseload of youth and includes performing all clinical functions of a Registered Nurse ( RN ). This is a full-time (40 hours) position, on ... and well-being to youth admitted to assigned programs. + Review health care recommendations from youth's physician...2 years of experience as a Registered Nurse required. SPECIAL REQUIREMENTS + Active, unrestricted RN… more
- Rochester Regional Health (Rochester, NY)
- …experience preferred. + Experience with EPIC preferred. EDUCATION: BS LICENSES / CERTIFICATIONS: RN - Registered Nurse - New York State Education ... leadership and management skills to promote effective and efficient review of physician documentation and the medical record. +...two years of hire. + Minimum five years acute care experience required. + RN (must be… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the following current New York State clinical licensures is required: RN , PT, BH Clinician , NP, PA, or Registered Dietician. + Minimum of eight (8) years of ... new program development and/or initiatives. + Participates in the development and review of policies and procedures which support clinical and operational program… more