- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Job Title: Registered Nurse IDepartment: Utilization Management Location:...medical necessity denials. Review patient class in the event manager , assist with LOC determination retrospectively, and changes patient… more
- BAYADA Home Health Care (Delhi, NY)
- …provided, utilizing a state-of-the-art touch pad tablet. **Qualifications:** + A current license as a Registered Nurse in New York State. + A minimum of one year ... **At Home Care, Inc. is a Medicare certified home health agency with a 4...Home Care, Inc.** is looking for compassionate and dedicated ** Registered Nurses ( RN )** to join our team… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Care manager - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Care Manager is responsible for completing a ... effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal...and currently registered to practice as a Registered Professional Nurse or BSN in New… more
- WMCHealth (Suffern, NY)
- Case Manager ( RN ) Company: Good...licensure in the State of New York as a Registered Nurse . Understanding of Medicare /Medicaid criteria ... Now External Applicant link Internal Applicant link Job Details: Summary: The Case Manager ( RN ) is responsible for implementing and supervising the… more
- Trinity Health (Latham, NY)
- … - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding opportunity for an RN Case Manager to work out of our 385 Watervliet Shaker Road, ... Care through teaching, counseling, and appropriate preventive services. The Registered nurse ( RN ) is responsible...our facility, and as may be required by the Nurse Manager of Clinical Operations, to ensure… more
- Claxton-Hepburn Medical Center (Ogdensburg, NY)
- CHMC - RN Case Manager -...management of patient care across the continuum. Qualifications: + Registered Nurse with valid NYS licensure and ... Time-Day Shift - Req 8776 Pay Range: $37.63-$49.86* An RN Case Manager coordinates, negotiates,...practice and current treatment regimens. + Ability to interpret Medicare , Medicaid and commercial insurance plans and benefits. +… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse ... Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- Northwell Health (Staten Island, NY)
- …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… 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...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Arnot Health (Elmira, NY)
- …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three ... Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services...and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN)… more