• Utilization Management

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
    Crouse Hospital (02/07/25)
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  • Registered Nurse - CLC

    Veterans Affairs, Veterans Health Administration (Syracuse, NY)
    …& qualified candidates will be referred for consideration as vacancies are available. The Nurse Inpatient Staff Registered Nurse (RN) is responsible for ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Care Manager - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …of hospital resources while maintaining the quality of care. + Participates in the utilization management process using standards of care to determine the most ... Care Manager Position Requirements: + Must have a current Registered Nurse (RN) license. + Graduate from...- Five (5) years acute hospital experience. + Case Management or Utilization Management experience… more
    Crouse Hospital (02/05/25)
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  • Trainer - Clinical Services - Utilization

    Molina Healthcare (Syracuse, NY)
    …Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads ... Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse (RN) Program and an Associate's...+ 2 or more years in case, disease or utilization management ; managed care; or medical/behavioral health… more
    Molina Healthcare (03/13/25)
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  • Registered Nurse Coordinator - MSICU

    Trinity Health (Syracuse, NY)
    …Renal Replacement Therapy, Ventilator/Respiratory class, and Peritoneal Dialysis. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role ... that contributes to the operational management of the unit to promote and support an...Coordinates patient admissions, discharges, and transfers for optimal bed utilization in collaboration with the Administrative Coordinator Office. +… more
    Trinity Health (03/08/25)
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  • Registered Nurse Care Coordinator

    Crouse Hospital (Syracuse, NY)
    …within a fast growing Medical Practice + Longevity and consistency of management + Perfect attendance award + Tuition reimbursement program + Employee referral ... outcomes are achieved within established time frames and with efficient utilization of resources. S/he interfaces with community providers, insurance companies and… more
    Crouse Hospital (03/04/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Syracuse, NY)
    Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
    Molina Healthcare (03/06/25)
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  • Field Family Nurse Practitioner (Fresno,…

    Molina Healthcare (Syracuse, NY)
    …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
    Molina Healthcare (03/08/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Syracuse, NY)
    …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
    Molina Healthcare (02/09/25)
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  • Flight Nurse

    Mercy Flight Central (Rome, NY)
    …and Qualifications + Minimum three years ED or ICU experience + Certified Flight Registered Nurse (CFRN) within one year of hire + Maintain proficiency and ... FLIGHT NURSE Rome, NY (http://maps.google.com/maps?q=660+Hangar+Road+Rome+NY+USA+13441) * Air Medical Apply...pursuant to the standards as set forth by company management and the Department of Health. Summary of Essential… more
    Mercy Flight Central (01/13/25)
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  • Nurse Practitioner/Physician Assistant 2nd…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Nurse Practitioner or Physician Assistant will be responsible for providing obstetrical and gynecological patient care within the scope and ... the performance of circumcisions, ED OB evaluations, admissions, discharges, and management for all the above. The gynecological services will include pre-operative… more
    SUNY Upstate Medical University (01/15/25)
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  • Clinical Nurse Manager: Crouse Medical…

    Crouse Hospital (Syracuse, NY)
    …the practice both internally and throughout the community. Education/Certification/Licensure: * Registered Nurse with Current NY Licensure. * Bachelor's degree ... within a fast growing Medical Practice + Longevity and consistency of management + Perfect attendance award + Tuition reimbursement program + Employee referral… more
    Crouse Hospital (03/15/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Syracuse, NY)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review. + Minimum two years of experience in… more
    Molina Healthcare (01/25/25)
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  • Manager, Healthcare Services (Remote)

    Molina Healthcare (Syracuse, NY)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
    Molina Healthcare (03/07/25)
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  • Manager, HCS Clinical Policy - Medicare (Remote)

    Molina Healthcare (Syracuse, NY)
    …integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). ... identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational… more
    Molina Healthcare (02/14/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Liverpool, NY)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...NY state requirement. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (02/21/25)
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  • RN Supervisor - Patient Logistics Night Shift

    Trinity Health (Syracuse, NY)
    …supervisor position is dedicated to providing quality care and excellent outcomes. ** Registered Nurse - Administrative Coordinator** We have an exciting job ... promote safe quality care coverage 24/7. + Coordinate bed management for all admissions and transfers throughout the hospital...five years supervisory experience. + Current licensure as a Registered Nurse in New York State. Graduate… more
    Trinity Health (01/10/25)
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  • Practice Administrator: Crouse Medical Practice,…

    Crouse Hospital (Syracuse, NY)
    …and communication skills. + Desirable Qualifications: + Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse . + Bachelor's degree ... within a fast growing Medical Practice + Longevity and consistency of management + Perfect attendance award + Tuition reimbursement program + Employee referral… more
    Crouse Hospital (02/19/25)
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  • Remote Program Manager, HCS - RN or Licensed…

    Molina Healthcare (Syracuse, NY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (03/04/25)
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  • Care Review Clinician, PA (RN) - Transplant Team…

    Molina Healthcare (Syracuse, NY)
    …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be… more
    Molina Healthcare (03/07/25)
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