• Utilization Review Nurse

    CDPHP (Albany, NY)
    …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... more
    CDPHP (01/24/25)
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  • Insurance Specialist - St. Peter's Hospital - PD…

    Trinity Health (Albany, NY)
    …requirements for Utilization Management and works collaboratively with Utilization Management/Concurrent Review Nurse , physicians, staff and ... more
    Trinity Health (01/25/25)
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  • Utilization Management RN

    Ellis Medicine (Schenectady, NY)
    Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare team, ... more
    Ellis Medicine (01/02/25)
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  • Registered Nurse - Dialysis

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Registered Nurse - Med/Surg

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …education, orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and ... more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Nurse Manager - New Ortho Office

    Trinity Health (Latham, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse Manager - New Ortho Office - Latham, NY** St. Peter's Health Partners is opening a new ... more
    Trinity Health (02/05/25)
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  • Nurse Reviewer I

    Elevance Health (Latham, NY)
    …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... more
    Elevance Health (01/17/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Albany, NY)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... more
    Fresenius Medical Center (02/05/25)
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  • Case Manager (Inpatient Units)

    Ellis Medicine (Schenectady, NY)
    …services provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... more
    Ellis Medicine (01/24/25)
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  • Chief Clinical Officer

    Evolent (Albany, NY)
    …be the single point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work can be divided into ... more
    Evolent (12/21/24)
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  • RN Clinical Manager, Home Health

    CenterWell (Clifton Park, NY)
    review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... more
    CenterWell (01/29/25)
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  • Payment Integrity Clinician - RN (Remote)

    Highmark Health (Albany, NY)
    …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... more
    Highmark Health (02/13/25)
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  • Care Manager RN (Delaware)

    Highmark Health (Albany, NY)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... more
    Highmark Health (02/07/25)
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  • Manager of Supply Chain Procedural Services

    Albany Medical Center (Albany, NY)
    …own team, manages, and maintains staff assignments, hires and performs employee review , trains, and coaches' staff as needed, develops and reports department ... more
    Albany Medical Center (01/29/25)
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  • AVP - Faculty Practice Nursing

    Albany Medical Center (Albany, NY)
    …Responds to changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by colleges and ... more
    Albany Medical Center (12/30/24)
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  • RN Admissions Facilitator - Skilled Nursing…

    Trinity Health (Albany, NY)
    …Skilled Nursing Facilities have a unique opportunity for a RN to receive, review and process referrals of patients at St. Peter's Hospital referred for subacute ... more
    Trinity Health (01/28/25)
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  • RN - Endocrinology & Podiatry Office Per Diem

    Albany Medical Center (Albany, NY)
    …Salary Range: $60,028.00 - $99,023.00 Salary range: $68,640 - $99,023 Registered Nurse Endocrinology & Podiatry Office Albany, NY Work Shift: Monday - Friday ... more
    Albany Medical Center (01/11/25)
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  • RN - Neurosurgery Office

    Albany Medical Center (Albany, NY)
    …Salary Range: $60,028.00 - $99,023.00 Salary range: $68,640 - $99,023 Registered Nurse - Full Time Neurosurgery Outpatient Office Work schedule: Monday - Friday ... more
    Albany Medical Center (12/30/24)
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  • Medicaid Special Programs Case Manager

    CDPHP (Albany, NY)
    …you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP ... more
    CDPHP (12/12/24)
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  • RN-Ambulatory Pediatric Gastroenterology 22 New…

    Albany Medical Center (Albany, NY)
    …the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide ... more
    Albany Medical Center (02/11/25)
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