- Albany Medical Center (Albany, NY)
- …a changing environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... (United States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate,… more
- CenterWell (Clifton Park, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Guthrie (Binghamton, NY)
- …(5) years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtain ... Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational outcomes timely, coordinated,… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… more
- Arnot Health (Bath, NY)
- …for professional/practice development. + Completes employee evaluations within the month of review date. Standard III. Education The Nurse Manager acquires and ... suitable for nursing research. + Promotes research-based practice. Standard VIII. Resource Utilization The Nurse Manager evaluates and administers the resources… more
- Highmark Health (Albany, NY)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190 ... Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' Compensation ... evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager ....for timely return to work. + Provides case management, utilization review , continued stay reviews, and based… more
- Crouse Hospital (Syracuse, NY)
- …requirements related to acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical, Dental, Vision, FSA, ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day...of the RN Care Managers in the department, including Utilization Management, Discharge Planning and Denials and Appeals functions.… more
- New York State Civil Service (Albany, NY)
- …Solicit, review and track compliance of MWBE and SDVOB utilization , commitments and workforce participation;. Ensure data is accurately reflected in tracking ... NY HELP No Agency Empire State Development, NYS Title Compliance Manager , Contractor & Supplier Diversity Occupational Category Other Professional Careers Salary… more