- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and...g. Will be responsible for the completion of all RN /LPN and CNA annual evaluations as assigned. h. Will… more
- Northwell Health (Lake Success, NY)
- …within 5 years of employment date. *Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... of care provided. Responsible for concurrent inpatient medical record reviews for Medicare , Medicaid and all commercial payers. Generates queries and have follow up… more
- Humana (Albany, NY)
- …in Nursing (BSN) or Bachelor's degree in any field or equivalent experience + Active unrestricted Registered Nurse ( RN ) license + 5 years or more of prior ... medical directors and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical… more
- Bassett Healthcare (Cooperstown, NY)
- …management experience, preferred Licensure/Certifications: Current NYS Licensure as a Registered Nurse , required Case management certification, preferred Skills: ... of life possible. What you'll do The Case Manager RN - ED acts a principle liaison between emergency...and hospital protocols to make recommendations for unit placement Review traditional Medicare fee for service (FFS)… more
- CenterWell (Hauppauge, NY)
- …of Nursing. + BSN required (NY state requirement) + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Hauppauge, NY branch location.** The ** RN Clinical Manager** coordinates and oversees all direct care...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …Assurance) as required, and as directed by their supervisor and Administrator MDS Director RN Qualifications: + Registered Nurse with current, active license ... MDS Director RN Glengariff Rehabilitation and Healthcare Center is looking...understanding of MDS requirements related to varied payers including Medicare , Managed Care and Medicaid + Ensures timely electronic… more
- Molina Healthcare (Syracuse, NY)
- …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... care management experience. **Preferred License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. To all… more
- Catholic Health Services (West Islip, NY)
- …(BSN) degree required. Master of Science degree strongly preferred. Licensure: New York Registered Nurse ( RN ) License & Registration. Certification: Care ... Conditions of Participation. Implements care management programs, including utilization review , intake and discharge planning. Evaluates patient care data to… more
- The New Jewish Home (Bronx, NY)
- …job functions.) Job Qualifications: + Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in Nursing. + ... and procedures. o Monitors quality of care delivered by staff through record review , conferences, supervisory visits and review of aggregated data. o… more
- Stony Brook University (Stony Brook, NY)
- …coverage as needed and other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse working on their degree with ... RN Case Manager **Position Summary** At Stony Brook...following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes… more