- Arnot Health (Elmira, NY)
- …of patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager 's average ... care rounds and participates in them. . The Case Manager tracks and trends LOS , resource utilization...with a current license as a registered nurse . BSN or Case Management Certification… more
- Molina Healthcare (Buffalo, NY)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS)… more
- Bassett Healthcare (Cooperstown, NY)
- …optimum health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety ... inpatient units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care,...experience, required Licensure/Certifications: + Current NYS License as a Registered Nurse , required + BLS Certification, required… more
- Molina Healthcare (Buffalo, NY)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports… more
- Fresenius Medical Center (West Islip, NY)
- …to ensure quality service while maintaining a high level of efficiency management . **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Manage the tactical execution of ... contracted facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. +… more
- Catholic Health Services (West Islip, NY)
- …strongly preferred. + Licensure: New York Registered Nurse ( RN ) License & Registration. + Certification: Care Manager Certification (CCM) preferred. ... hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning… more
- Mohawk Valley Health System (Utica, NY)
- RN - Case Manager - Full Time - Days - 4 - 9.5 Hour Shifts Department: CASE MGMT Job Summary Reports to and is under direct supervision of Case Management ... compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience.… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in state of practice. + ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care… more
- Trinity Health (Syracuse, NY)
- …comprehensive interdisciplinary care for stable and critically ill patient populations. The Registered Nurse Coordinator is a dynamic leadership role that ... contributes to the operational management of the unit to promote and support an...that supports and leads unit and/or organizational changes. A RN Coordinator helps to identify problems, offers solutions, and… more
- Trinity Health (Troy, NY)
- …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... member of our caring, compassionate health care team the RN Case Manager will enjoy:** + Hours...Engage the patient and care team in the joint management of key patient outcomes such as management… more