- Unity House (Troy, NY)
- We are seeking a compassionate and skilled Psychiatric Nurse Practitioner (NP) to join our dynamic clinical team. This position will serve adults living with serious ... Key Responsibilities: + Conduct psychiatric evaluations and ongoing medication management + Prescribe and monitor psychotropic medications, including injectable… more
- Molina Healthcare (Albany, NY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …assignments, difficult members and highly visible issues.* Understanding of the basic Utilization Management and Case Management aspects of the department * ... and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks...expected and required.* Performs other functions as assigned by management . Minimum Qualifications:* RN with valid and current NYS… more
- Crouse Hospital (Syracuse, NY)
- …area preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: ... the quality of care. + Participates in the utilization management process using standards of care to determine the...Manager Position Requirements: + Must have a current Registered Nurse (RN) license. + Graduate from an accredited nursing… more
- Bowery Residents Committee (Manhattan, NY)
- DUTIES/RESPONSIBILITIES: Patient evaluation and treatment, medication management , case conferencing and in-service training to the staff. Provide input into the ... HOURS: Part-time + Flexible day 7:30am-4pm QUALIFICATIONS: NYS Certified psychiatric nurse practitioner. Have prior experience working with a MICA population. CPR… more
- Crouse Hospital (Syracuse, NY)
- …Degree in Nursing, Bachelor's Degree in Nursing (BSN) preferred, Certification in Case Management (CCM, ACM) preferred, Knowledge of provider community and ... within a fast growing Medical Practice + Longevity and consistency of management + Perfect attendance award + Tuition reimbursement program + Employee referral… more
- Trinity Health (Syracuse, NY)
- …or have completed a college level course in medical terminology. + One year of case management or utilization review/billing or coding experience. + One year of ... in coding/medical records/billing or healthcare related field + One year of case management or utilization review, billing, or coding experiencePlease be… more
- Trinity Health (Syracuse, NY)
- …or have completed a college level course in medical terminology. + One year of case management or utilization review/billing or coding experience. + One year of ... in coding/medical records/billing or healthcare related field + One year of case management or utilization review, billing, or coding experience Please… more
- Travelers Insurance Company (Albany, NY)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Position ... service on assigned claims, while engaging in indemnity & expense management . Promptly manage claims by completing essential functions including contacts,… more
- Travelers Insurance Company (Melville, NY)
- …process, relevant case and statutory law and expert + litigation management skills preferred. + Extensive claim and/or legal experience and technical expertise ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more