- RiseBoro Homecare Inc. (Brooklyn, NY)
- …headed by young adults ages 18 to 25 years old providing health care and management coordination. The Registered Nurse will: + Conduct assessment of the health ... ESSENTIAL DUTIES AND RESPONSIBILITIES The Registered Nurse will serve young adults and families with...to clients as needed + Assist clients with medication review and understanding directives from Primary Care Physicians (PCPs)… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse Manager - Outpatient Cardiology Office - Albany, NY - FT - Days** If you are looking for ... a Clinical Nurse Manager position in an Outpatient Cardiology practice, this...as appropriate governmental and other regulatory standards. Insures clinical management presence during working hours. + Ensures timely performance… more
- Evolent (Albany, NY)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management … more
- Elevance Health (Latham, NY)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Northwell Health (Staten Island, NY)
- …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + ... **Req Number** 167724 Registered Nurse Case Manager - FlexStaff Serves as liaison...Submits data to management regarding case management and/or quality initiatives… more
- Highmark Health (Albany, NY)
- …triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or… more
- Catholic Health (Buffalo, NY)
- …(2) years acute care and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or ... 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse (RN) Care Manager-Transition of Care, as an active...of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive case … more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse (RN) We are searching for a highly motivated,...facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by… more
- Rochester Regional Health (Rochester, NY)
- …with Directors of Nursing and Director of Quality to provide quality review activities. Guides assigned areas in utilization of recognized improvement ... Job Title: Nurse Manager, Ambulatory ServicesDepartment: Pulmonary, Sleep Lab, Infectious...for service line quality and performance improvement initiatives, medication management , risk management , infection prevention and regulatory… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse (RN) Care Manager (Req 100984) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a part of the ... professional nursing practice, excellent communication and critical thinking skills, self- management expertise along with outstanding customer service to promote and… more