- Project Renewal, Inc. (New York, NY)
- Title: Nurse Care Manager for Drug User...the buprenorphine census) Qualifications: + Active New York State Registered Nurse ( RN ) license + ... C infection. Position Overview: Project Renewal is seeking a Nurse Care Manager (NCM) for Drug User...to track prescribing and pharmacy fill history + Insurance authorization and troubleshooting coverage issues + Relationship building and… more
- Albany Medical Center (Albany, NY)
- …approach (ICU or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization , protocols for inpatient ... of prior clinical nursing experience is required Registered Nurse ( RN ) - Full...or floor admitting MD/Pharmacy/ Nurse Manager /Clinical Nurse Specialist/Consulting MD), prior authorization ,… more
- Trinity Health (Albany, NY)
- …ass needed **What you will need:** **Required:** + A current license to practice as a Registered Nurse ( RN ) in the State of New York + Associate's degree ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Care Manager (Long Term Care...well as insurance companies to manage insurance verifications and prior authorizations + Continual review and authorization … 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 ... In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the...of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... RN Case Manager **Position Summary** At...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse … more
- Molina Healthcare (Buffalo, NY)
- …care, and at least 2 years of managed care experienced in utilization management * Registered Nurse ( RN ) ONLY if required by state contract, regulation or ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… more
- Mohawk Valley Health System (Utica, NY)
- …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... RN Supervisor Case Management - Full Time - Days...and currently registered to practice as a Registered Nurse in New York State. Disclaimer Qualified… 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 ... Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues,… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... transitional care experience. The Care Manager - Readmission Specialist_ _identifies hospitalized patients who may...may be at a high risk for readmission. The RN following these patients must have good clinical and… more
- Ellis Medicine (Schenectady, NY)
- …and assist in utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files, ... primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management ...or changes in the discharge plan. + Assists Case Manager with medication prior authorizations. + Provides… more
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