• LTSS Service Coordinator - RN Telehealth…

    Elevance Health (Latham, NY)
    **Anticipated End Date:** 2024-10-01 **Position Title:** LTSS Service Coordinator - RN Telehealth (Remote) **Job Description:** **LTSS Service Coordinator - RN ... (NY, NJ, or CT). The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's...member's case in accordance with applicable state law and contract ; develops , monitors, evaluates, and revises the member's… more
    Elevance Health (09/06/24)
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  • RN Hospital Bill Audit/Appeal Lead

    Elevance Health (Latham, NY)
    **Anticipated End Date:** 2024-09-16 **Position Title:** RN Hospital Bill Audit/Appeal Lead **Job Description:** ** RN Hospital Bill Audit/Appeal Lead** ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead** is responsible for leading a team of… more
    Elevance Health (09/06/24)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Latham, NY)
    **Anticipated End Date:** 2024-09-11 **Position Title:** Telephonic Nurse Case Manager II **Job Description:** **Telephonic Nurse Case Manager II** **Location: ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
    Elevance Health (09/06/24)
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  • Nurse Case Manager I

    Elevance Health (Latham, NY)
    **Anticipated End Date:** 2024-09-11 **Position Title:** Nurse Case Manager I **Job Description:** **Location:** Virtual; Within 50 miles of an Elevance Health Pulse ... ET; Must be able to work some evenings The ** Nurse Case Manager I** is responsible for performing care...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
    Elevance Health (09/06/24)
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  • Nurse Medical Management Sr

    Elevance Health (Latham, NY)
    **Anticipated End Date:** 2024-08-28 **Position Title:** Nurse Medical Management Sr **Job Description:** **Location** : This is a virtual position. Candidates must ... medical necessary, quality healthcare in a cost effective setting according to contract + Consult with clinical reviewers and/or medical directors to ensure… more
    Elevance Health (09/06/24)
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  • Nurse Case Mgr I

    Elevance Health (Latham, NY)
    **Anticipated End Date:** 2024-08-28 **Position Title:** Nurse Case Mgr I **Job Description:** **Location** **:** This is a virtual position. **Schedule:** ... which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure...or any other category protected by federal, state, and local pay equity laws _._ * The salary range… more
    Elevance Health (09/06/24)
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  • LPN Clinic |

    Amergis (Albany, NY)
    …Family Practice No weekends, paid weekly! 8:30a-5:00pm Under the supervision of a Registered Nurse , the LicensedPractical/Vocational Nurse - Clinic Site ... and Responsibilities: + Under the direct supervision of a Registered Nurse utilizesthe nursing process to assess,...chest x-ray if applicable + Current Health certificate (per contract or stateregulation) + Must meet all federal, state… more
    Amergis (08/15/24)
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  • Provider Transformation Specialist - NY - Greater…

    Highmark Health (Albany, NY)
    …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... STARS gap closure to providers based upon each individual gain/risk share contract parameters. This includes analysis and interpretation of claims submission for… more
    Highmark Health (09/03/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Latham, NY)
    …would provide an equivalent background. + Requires current, active, unrestricted Registered Nurse license in applicable state(s). **Preferred Skills, ... One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health...or any other category protected by federal, state, and local pay equity laws _._ * The salary range… more
    Elevance Health (09/06/24)
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  • Licensed Utilization Review I

    Elevance Health (Latham, NY)
    …department guidelines and consistent with the members eligibility, benefits and contract . + Develops relationships with physicians, healthcare service providers, and ... unrestricted license or certification as a LPN, LVN, or RN to practice as a health professional within the...or any other category protected by federal, state, and local pay equity laws _._ * The salary range… more
    Elevance Health (09/06/24)
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