- Mount Sinai Health System (Long Island City, NY)
- …nursing or healthcare-related field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse experience. Previous supervisory ... utilization review, appeals management and discharge planning to facilitate the case management process and maximize reimbursement to the hospital. Must be… more
- Northern Rivers Family Services (Albany, NY)
- …- Albany, NY Additional pay differential for evenings, overnights, and weekends As a Registered Nurse , you will provide nursing care and services to a youth ... the physical and behavioral/emotional health of the residents + Case management of outside provider visits (medical...in New York State + CPR Certification required. + Registered Nurse 1-2 years' experience preferred +… more
- Arnot Health (Elmira, NY)
- …meetings. Case management staff development meetings. Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered ... for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and...denied by payer. Under the direction of the System Director of Care Coordination coordinates data with other Arnot… more
- Rochester Regional Health (Rochester, NY)
- …experience preferred. + Experience with EPIC preferred. EDUCATION: BS LICENSES / CERTIFICATIONS: RN - Registered Nurse - New York State Education ... practitioners and the department managers for Revenue Integrity, Coding and Data Quality, Case Management and Health Information Management . + Develops the… 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. ... Job Description MAIN FUNCTION: Coordinates and manages with the Director of Nursing (DON) all nursing care activities based on the philosophy of Arnot Health using… more
- University of Rochester (Rochester, NY)
- …in writing REQUIRED. + Trauma programs, ACS verification PREFERRED. **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse - State Licensure and/or Compact ... GENERAL SUMMARY In collaboration with the Pediatric Trauma Medical Director and Pediatric Trauma Advanced Practice Provider, coordinate and facilitate… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + Leads ... + Provision of clinical oversight and leadership to Utilization Management / Case Management (UM/CM) staff working...Management (QM/UM) Plan, including having the BH Medical Director for Children's Services and participate on the BH… more
- FlexStaff (Flushing, NY)
- …contact hours of mandatory training requirements such as infection control coursework. - Case Management Certification recommended within two (2) years of the ... care. Serve the organization as a member of the management team, working alongside with all departments and employees...license and registration in New York State as a Registered Nurse required. Additional Requirements: - Be… more
- FlexStaff (New York, NY)
- …contact hours of mandatory training requirements such as infection control coursework. Case Management Certification recommended within two (2) years of the ... care. Serve the organization as a member of the management team, working alongside with all departments and employees...license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally… more
- MVP Health Care (Rochester, NY)
- …**Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse is required. + Case Management Certification preferred (ANCC or ... + At least 3 years of recent clinical and Case Management experience. + Certification in ...will also monitor and review cases with the Medical Director to ensure appropriate outcomes. Other duties as assigned… more