- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Molina Healthcare (Buffalo, NY)
- … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
- Guthrie (Binghamton, NY)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant...admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐determined criteria. b.… more
- Ellis Medicine (Schenectady, NY)
- …is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge plans, support coordination of ... care activities, and assist in utilization management activities under the direction of a registered... management activities under the direction of a registered nurse and/or social worker. Responsibilities include… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care Manager - Women's Health/Pediatrics (Req 100987) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) ... through chronic disease management , wellness promotion and early detection. The Care Manager ( RN ) will assist in coordination and integration of medical and… more
- Catholic Health Services (Port Jefferson, NY)
- …+ 3+ Years acute care clinical RN experience required + Prior RN experience in Utilization Management , Performance Improvement, Transition Planning ... the acute care continuum. + Perform required activities for utilization management , PRI assessment and completion, transition...a BSN program may apply + Licensure: New York Registered Nurse ( RN ) License &… more
- Glens Falls Hospital (Glens Falls, NY)
- …can be found*here*. **Job:** **Nursing - Case Management * **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options for ... *The Impact You Can Make* *Team Impact* The Care Manager will be assigned to manage their own patient...work closely with the Interdisciplinary Team to ensure appropriate utilization and provision of resources for patients including referrals… more
- Northwell Health (Staten Island, NY)
- **Req Number** 167724 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria +… more
- Fresenius Medical Center (New York, NY)
- …closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager , the Medical Director, and ... and FMS risk management initiatives. + Collaborates with the Clinical Coordinator/Charge RN or Nurse Supervisor to ensure the aggressive treatment of, and… more
- Fresenius Medical Center (Amsterdam, NY)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
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