• Care Review Clinician

    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 (11/01/25)
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  • Care Review Clinician

    Molina Healthcare (Rochester, NY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization...experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
    Molina Healthcare (12/13/25)
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  • Professional, Behavioral Health

    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
    MVP Health Care (12/14/25)
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  • Assistant Nurse Manager - Monroe…

    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
    Hillside Family of Agencies (11/15/25)
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  • Director, Clinical Documentation Improvement…

    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
    Rochester Regional Health (10/04/25)
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