- Catholic Health (West Seneca, NY)
- …Degree in Nursing required + Current, unrestricted licensure by New York State as a Registered Nurse ( RN ) required EXPERIENCE + Minimum of (1) year ... based clinical guidelines, encourage patient self-management, increase coordination of care , increase the utilization of resources and...experience as a registered nurse required + One (1) year… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... Supports the philosophy and objectives of the Long Term Care Department. + Ensures the utilization of...g. Will be responsible for the completion of all RN /LPN and CNA annual evaluations as assigned. h. Will… more
- Catholic Health Services (West Islip, NY)
- …degree strongly preferred. + Licensure: New York Registered Nurse ( RN ) License & Registration. + Certification: Care Manager Certification (CCM) ... but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and...Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... Requirements + Previous experience as in homecare, long term care or utilization review preferred. + Discharge...utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum… more
- Molina Healthcare (Buffalo, NY)
- …least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or state ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nurse Manager is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is ... education, medical records, internal and external regulatory and survey requirements. The Nurse Manager I collaborates with multiple professionals to support and… more
- Bassett Healthcare (Oneonta, NY)
- …health and enjoy the best quality of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in facilitating patient ... timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The… more
- Mount Sinai Health System (Wantagh, NY)
- …clinical experience with three years supervisory experience including one year in health care management + Registered Nurse or related health science ... **Job Description** The Offsite Clinical Manager is responsible for administering, directing, planning and...to ensure high quality, cost effective and accessible patient care services. **Qualifications** + Bachelors degree in nursing or… more
- Mohawk Valley Health System (Utica, NY)
- …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice,...and currently registered to practice as a Registered Nurse in New York State. Disclaimer… more