- Rochester Regional Health (Rochester, NY)
- …of Science in Nursing (BSN) preferred. * 1 - 3 years' experience as a Registered Nurse is highly preferred. * Demonstrated leadership qualities and behaviors. * ... in Nursing (BSN) preferred. - For Dialysis: BSN preferred Required Licensure/Certification Skills:* Registered Nurse license in New York State. * BLS… more
- CenterLight Health System (Ridgewood, NY)
- …unrestricted license and registration in New York State required as a Registered Nurse . Language: Bilingual preferred. Physical Requirements Individuals must be ... care. Serve the organization as a member of the management team, working alongside all departments and employees to...Delivery reports. + Participates and represents the Community Health Nurse (CHN) in IDT meetings, when required. + Balance… more
- Independent Health (Buffalo, NY)
- …with regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... credentials preferred. + Four (4) years of clinical experience required. Utilization Management experience preferred. + Comprehensive knowledge and experience… more
- Nuvance Health (Poughkeepsie, NY)
- …license or certification in the respective field of qualifying credential (eg, Registered Nurse , LPN, Respiratory Therapist, EMT or Paramedic) * Maintenance ... patient care within the scope of practice as a Nurse ( RN or LPN), Respiratory Therapist, EMT,...in quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director . *… more
- MVP Health Care (Tarrytown, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management ...will also monitor and review cases with the Medical Director to ensure appropriate outcomes. + Service Authorization &… more
- Mount Sinai Health System (New York, NY)
- …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State + National Board Certification in Advanced ... as a liaison to nursing, medicine, department chairs/chiefs, care management , administration, and other department leadership. Ensures advanced practice nurses… more
- University of Rochester (Rochester, NY)
- …Technician (RHIT) Program **_or_** + Licensure/credentials in clinical specialty such as Registered Nurse , Licensed Practical Nurse , or Emergency Medical ... as directed by the Trauma Program Manager (PTM) and Trauma Medical Director (TMD), including identification of all injuries, procedures, complications and outcomes.… more
- WMCHealth (Warwick, NY)
- …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... to ensure facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion… more
- WMCHealth (Valhalla, NY)
- …two (2) years of Utilization Management or Appeal Management related experience Training/License: Current NYS RN license. Thorough knowledge of ... nursing theory, nursing practice and practice standards for Utilization Management as related to Medicare, Medicaid and HMO's. Working knowledge clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …attendance is expected and required. + Performs other functions as assigned by management . Minimum Qualifications: + RN with current New York State license ... in conjunction with Medical Policy leadership and applicable Medical Director (s). Essential Accountabilities: + Develops and maintains corporate medical policies… more