- Highland Hospital (Rochester, NY)
- …direction of the Highland Women's Health (HWH) Nurse Manager and Division Director , the OB RN Care Manager's central role integrates and coordinates access ... **17006BR** **Title:** RN OB Case Manager **Department/Cost Center:** 628 - Ayrault...and utilization management , proactive patient management , care… more
- Trinity Health (Albany, NY)
- …across St. Joseph's Health and St. Peter's Health Partners. The Administrative Director will bolster and guide the framework of a new, statewide Oncology ... line to drive financial, operational and strategic priorities. The Administrative Director is _not_ responsible for day-to-day care delivery or operations; however,… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, ... Overview Director -Care Management Are you exceedingly driven,...to be a St. Francis Hospital & Heart Center(R) RN . You are at the heart of health. St.… more
- Northwell Health (Mount Kisco, NY)
- …Job Description Directs, plans, implements and evaluates all activities of the inpatient RN Case Management and Social Work Services team. Develops processes to ... safe discharge back to the community. Job Responsibility 1.Leads RN case management and social work services...be in Nursing. *Current license to practice as a Registered Professional Nurse in New York State,… more
- Outreach Development Corporation (Brentwood, NY)
- …health and/or substance abuse treatment or related setting; Outreach is seeking an experienced Registered Nurse ( RN ) to work in our adolescent residential ... reports in a timely manner. + Communicate with program management ( Director , Clinical Coordinator, and/or House Manager...sexually transmitted diseases, pregnancy prevention, etc Qualifications + NYS Registered Nurse ( RN ) + Previous… more
- US Tech Solutions (Tarrytown, NY)
- Reporting into Senior Director Strategic Sourcing , this position will support and lead the Health System's Value Analysis Program from Procurement / Supply Chain ... initiatives. - Lead material resource selection, standardization, price optimization and utilization initiatives while promoting and utilizing Value Analysis in the… more
- New York State Civil Service (Albany, NY)
- …be asked for their social security number to verify eligibility. Current registration as a Registered Nurse ( RN ) with the New York State Education Department ... in nursing AND current New York State license and registration as a professional registered nurse AND four years of post-licensure nursing experience. One year… more
- Arnot Health (Elmira, NY)
- … Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have proficient ... Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate...denied by payer. Under the direction of the System Director of Care Coordination coordinates data with other Arnot… more
- Elevance Health (Middletown, NY)
- …moderately complex case types that do not require the training or skill of a registered nurse . **Primary duties may include but are not limited to:** + ... **Medical Management Clinician** **Location:** **New York** . This role...a medical necessity denial determination made by a Medical Director . + May work directly with healthcare providers to… more
- Guthrie (Binghamton, NY)
- …role related to professional specialty. Education, License & Cert: Licensed as a Registered Nurse in the State of Pennsylvania/New York. Certification within ... the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the Guthrie Lourdes… more
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