- Molina Healthcare (NY)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous...candidate with previous Case Management experience and a WA RN licensure. The candidate should have proficient knowledge of… more
- Molina Healthcare (NY)
- …for a Texas licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar County. ... health settings. + Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field… 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...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- Molina Healthcare (Albany, NY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Mohawk Valley Health System (Utica, NY)
- …Management experience Licensure/Certification Requirements REQUIRED: + Current NYS Licensed Registered Professional Nurse . Disclaimer Qualified applicants will ... Transitional Care RN - Case Management - Full Time -...+ Implement post-discharge plans in accordance with criteria for Medicare , Medicaid coverage, HMO or private insurers. + Collaborate… more
- HCR Home Care (Rochester, NY)
- …$89,000.00 - $99,000.00 Annually Role and Responsibilities The Clinical Manager is an RN who supervises a potentially interdisciplinary team of RNs and LPNs to ... in nursing required . Qualifications and Requirements + Valid RN license issued by NYS Department of Education required...years' experience in certified home health care . + Medicare home health experience and management experience . +… more
- Finger Lakes Health (Seneca Falls, NY)
- …promote comfort and healing and achieve the best possible clinical outcomes. The Registered Professional Nurse will use nursing process and approved nursing ... USA Pay Range $34.48 - $40.03 Job Description Under the direction of the RN Supervisor LMA, and in accordance with the approved policies and procedures, provides… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …development and promotional opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of three years of ... managed care benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid) and benefits, preferred. + Strong written and verbal… more
- HCR Home Care (Plattsburgh, NY)
- …+ Bachelor's Degree in Nursing preferred. Qualifications and Requirements + Current, valid RN license, issued by NYS Department of Education required. + Two (2) ... and be able to problem-solve effectively. + Possess knowledge of the Medicare guidelines governing home health agencies. + Organized, detail-oriented and possesses… more
- National Health Care Associates (Melville, NY)
- …USD $58.00/Hr. **-** **What You'll Bring:** **Qualifications of a MDS Coordinator / Nurse Assessment Coordinator include:** + Valid state RN nursing license + ... **-** **What You'll Do:** As an MDS Coordinator / Nurse Assessment Coordinator, you will complete and assure the...Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs… more