- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 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 (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
- 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
- CDPHP (Albany, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
- UHS (Johnson City, NY)
- …of Trauma Care After Resuscitation (TCAR) course License/Certification Minimum Required: + Registered Nurse - valid NYS license. + Current CPR Certification. ... Position OverviewThe Trauma Resource Nurse (TRN) has responsibility for concurrent ...Trauma Care for Nurses (ATCN) + Current Trauma Certified Registered Nurse (TCRN) + Current Certified Specialist… more
- Guthrie (Corning, 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...to the case management process. Certified to complete Patient Review Instruments (PRIs). Has a working knowledge of the… 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
- Northwell Health (Forest Hills, NY)
- …Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification ... in Case Management, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge… more
- Catholic Health Services (West Islip, NY)
- …(BSN) degree required. Master of Science degree strongly preferred. Licensure: New York Registered Nurse ( RN ) License & Registration. Certification: Care ... Conditions of Participation. Implements care management programs, including utilization review , intake and discharge planning. Evaluates patient care data to… more