• UM RN

    Centers Plan for Healthy Living (Jamaica, NY)
    UM RN 90-27 Sutphin Blvd, Jamaica, NY 11435, USA Req #12129 Monday, December 2, 2024 Centers Plan for Healthy Living's goal is to create the ultimate healthcare ... more
    Centers Plan for Healthy Living (12/03/24)
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  • COE UM Program Director

    Molina Healthcare (New York, NY)
    …improvement experience **Preferred License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + ... more
    Molina Healthcare (01/21/25)
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  • Care Review Clinician, PA ( RN )

    Molina Healthcare (New York, NY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... more
    Molina Healthcare (01/21/25)
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  • COE CM Director, ( RN required)

    Molina Healthcare (New York, NY)
    …improvement experience **Preferred License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + ... more
    Molina Healthcare (01/21/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (New York, NY)
    …acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... more
    Molina Healthcare (01/23/25)
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  • Appeals Manager, Department of Utilization Case…

    BronxCare Health System (Bronx, NY)
    …special projects and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate ... more
    BronxCare Health System (12/18/24)
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  • CHS Utilization and Appeals Manager

    Catholic Health Services (Melville, NY)
    …party contractual changes from the Managed Care Department and applies to UM and appeals management processes. | Works collaboratively with physicians, physician ... more
    Catholic Health Services (12/19/24)
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