- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Job Title: Registered Nurse I Department: Utilization Management...40 hours (Full-Time) Schedule: Monday - Friday, Days SUMMARY: Review all inpatient medical necessity denials for the health… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... holiday every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager, your excellent...at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third… more
- FlexStaff (Lake Success, NY)
- **Req Number** 177188 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
- Northwell Health (Sleepy Hollow, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... Responsibility + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria.… more
- University of Rochester (Rochester, NY)
- …record. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate's degree Registered Nurse ( RN ) required + Bachelor's degree in Nursing ... with EPARC, eRecord, HDM, Cobius, and Sharepoint preferred **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse - State Licensure and/or Compact… more
- WMCHealth (Kingston, NY)
- …Internal Applicant link Job Details: Summary of Job Purpose The Registered Nurse , in collaboration with the Team, is responsible ... RN - Adolescent Partial program Company: HealthAlliance Hospital City/State:...Knowledge of Partial Hospitalization goals. Training/License: New York State Registered Nurse license required About Us: HealthAlliance… more
- Guthrie (Binghamton, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or… more
- Mount Sinai Health System (New York, NY)
- …the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion. c. Provides clinical information requested ... **Job Description** ** RN /Case Manager MSH Case Management FT Days** The...experience as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager… more
- Albany Medical Center (Albany, NY)
- …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... financial constraints. + Provides collaborative care management with the primary nurse in assessing for discharge planning needs, coordinating appropriate resources… more
- Northwell Health (Lake Success, NY)
- …to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests ... of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and...of employment date. *Current License to practice as a Registered Professional Nurse in New York State… more