- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday - ... class as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial… more
- Mount Sinai Health System (New York, NY)
- …electronic documentation within the hospital Eagle and Canopy systems or written record keeping. Responsible for accurate filing of records , obtaining medical ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...(IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of… more
- Elevance Health (Latham, NY)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Assistant Nurse Manager provides management assistance on an assigned shift and is accountable ... department staff, serving as a resource and mentor. The ANM assists the Nurse Manager with elements of planning, organizing, controlling, climate setting,… more
- Ellis Medicine (Schenectady, NY)
- …the integrity and confidentiality of all data. + Maintains a satisfactory attendance record . + The Associate Nurse Manager will work collaboratively ... benefit offerings DAY ONE !! Basic Function: The Associate Nurse Manager functions as the clinical ...nursing care delivery system to assure effective and efficient utilization of staff and other resources. + As delegated… more
- Ellis Medicine (Niskayuna, NY)
- Basic Function: The Nurse Manager (NM) actualizes the vision, mission and values for Ellis Medicine and maintains standards of the practice for nursing as ... and Standards of Practice and Nursing's social Policy Statement. The Nurse Manager participates in performance improvement/research activities; maintains… more
- Northwell Health (Riverhead, NY)
- …delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. + ... + Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. + Works with on-site screeners… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nurse Manager is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is ... medical records , internal and external regulatory and survey requirements. The Nurse Manager I collaborates with multiple professionals to support and… more
- CVS Health (Albany, NY)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...**Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager reports to ... for Case Management. * Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and evaluates alternative… more