- Healthfirst (NY)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge ... planning, and case management as assigned. The Case Manager , Utilization Management is...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- Mohawk Valley Health System (Utica, NY)
- …comprehensive care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, ... RN Supervisor Case Management - Full...Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New… more
- 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 - ... REQUIRED QUALIFICATIONS: + 3 years of acute hospital care, Case Management and/or Utilization Management experience +...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a passion for patient ... bring:** + Current New York State Licensure as a Registered Nurse required with at least 4...recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2… more
- Glens Falls Hospital (Glens Falls, NY)
- …can be found*here*. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options for ... changes in patient condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the… more
- CVS Health (Albany, NY)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Crouse Hospital (Syracuse, NY)
- …and contractual agreements. Manager , Care Coordination Requirements: + Licensed as a Registered Nurse in New York State + Bachelor's degree + Five (5) ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day...responsible for providing day to day management of the RN Care Managers in the department, including Utilization… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
- Northwell Health (Manhasset, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
- Catholic Health (Kenmore, NY)
- …Rotation Hours: 0800-1600 with rotation to 0900-1700, 1000-1800. Summary: The Registered Nurse ( RN ) Care Manager -Transition of Care, as an active member ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...utilization review experience in the role of a Case Manager or Disease Manager ,… more