- Catholic Health (Buffalo, NY)
- …case management and discharge planning principles, the RN Care Manager , Transition of Care engages the patient/patient representative in developing and ... Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New...Manager KNOWLEDGE, SKILL AND ABILITY + Possesses case management skills critical to working on an interdisciplinary team… more
- Molina Healthcare (Yonkers, NY)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more
- Albany Medical Center (Albany, NY)
- …preferred but not required. Salary range: $68,640 - $99,023 Under the Supervision of the Nursing Supervisor and/or Nurse Manager , the RN provides nursing ... utilization of resources to meet patient outcomes (case management ). + Analyzes patient care needs and utilizes a...staff + Works with division physicians, administrative staff and Nurse Manager to assure compliance with regulatory… more
- Nuvance Health (Carmel, NY)
- …years RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. ... Location: Carmel-PHC 670 Stoneleigh Avenue Work Type: Full-Time Standard Hours: 37.50 FTE: 1.000000 Work Schedule: Day 10 Work Shift: This is a Monday thru Friday position with rotating weekends. 8am-4pm Org Unit: 1168 Department: Care Coordination Exempt: Yes… more
- St. James Hospital (Hornell, NY)
- …+ Provide immediate follow-up, documentation, and communication of incidents to the appropriate manager and Chief Nursing Officer (CNO). + Works in tandem with ... Nursing Supervisor - Per Diem Hornell, NY (http://maps.google.com/maps?q=7329+Seneca+Rd+North+Hornell+NY+USA+14843)...lets appropriate staff know. + Assists ED and Med/Surg manager with staff scheduling + Assists case management… more
- UHS (Johnson City, NY)
- …(5) years of clinical nursing experience + Two (2) years of nursing management experience Preferred + Professional certification in Nursing Executive ... Position OverviewUnited Health Services is seeking a Director of Nursing - Medical Surgical Services to lead strategic and daily operations across medical-surgical… more
- Fresenius Medical Center (Bronx, NY)
- …post procedure, under the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- Molina Healthcare (Yonkers, NY)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical… more
- Guthrie (Binghamton, NY)
- … (BSN) 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 ... Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal...experience in an acute care setting with strong care management , utilization review, and payer knowledge. A… more