- 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.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** RN /Case Manager Mount Sinai West FT Days 8a-4p...by the managed care companies as part of the concurrent review in a timely fashion. 3. ... experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred....or a minimum of 3-5 years' experience as a RN in an acute care setting. + Current NYS… more
- WMCHealth (Valhalla, NY)
- Performance Improvement Trauma Coordinator- RN Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Nursing/Nursing Management Department: ... and works closely with the Trauma Registry to ensure accurate concurrent data collection and identification of performance improvement occurrences. The Performance… more
- Northwell Health (Staten Island, NY)
- …+ Bachelor's Degree in Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, ... to another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for… more
- UHS (Johnson City, NY)
- … Nurse Core Course (TNCC) or Advanced Trauma Care for Nurses (ATCN). + Registered Nurse - valid NYS license. Preferred: + Current instructor certification in ... (TNCC) or Advanced Trauma Care for Nurses (ATCN) + Current Trauma Certified Registered Nurse (TCRN) + Current Certified Specialist in Trauma Registries (CSTR)… more
- Kaleida Health (Buffalo, NY)
- …of Arts in Nursing or similar or Bachelors in Health care Administration required. Registered Nurse required. CDS must obtain CCDS credential within 12 months of ... experience in Patient Management, acute care, medical/surgical or ICU/ED as a licensed Registered Nurse required. 1 year of experience in Clinical Documentation… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent ...will review and appeal as appropriate for concurrent and retrospective authorization and denial activities for Arnot… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + ... and PH care across the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. + Collaborates with Provider Relations staff to ensure an… more
- Insight Global (Lake Success, NY)
- …specialist experience - Graduation from an accredited School of Nursing is required - Active Registered Nurse ( RN ) license in New York State is required - ... ensures the accuracy and integrity of clinical documentation by conducting concurrent reviews of inpatient records and collaborating with physicians to clarify… more