• 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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  • Utilization Review Nurse

    Travelers Insurance Company (Albany, NY)
    …**What Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for ... more
    Travelers Insurance Company (01/31/25)
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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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  • Utilization Management Representative I

    Elevance Health (Latham, NY)
    …prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification ... more
    Elevance Health (01/15/25)
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  • Utilization Management Reprsentative II

    Elevance Health (Latham, NY)
    …Finder and follows up with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. + ... more
    Elevance Health (01/15/25)
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  • Registered Nurse II, Acute Care - Emergency…

    Bassett Healthcare (Cobleskill, NY)
    …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute Care is accountable for the delivery of safe patient care ... more
    Bassett Healthcare (01/16/25)
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  • Registered Nurse I, Acute Care - Medical…

    Bassett Healthcare (Cobleskill, NY)
    …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care ... more
    Bassett Healthcare (12/11/24)
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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 Practitioner (Full time, 40hrs/wk)

    YesCare Corp (Coxsackie, NY)
    …measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate ... more
    YesCare Corp (12/19/24)
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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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  • 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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  • 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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  • Clinical Appeals Specialist

    CDPHP (Albany, NY)
    …(3) years of clinical experience required. + Minimum one (1) year of quality/ utilization review experience required. + Experience with research, data retrieval, ... more
    CDPHP (01/24/25)
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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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