- Bassett Healthcare (Cooperstown, NY)
- …before 12/19/17 are/remain exempt from this requirement. Experience: Minimum 5 years of Registered Nurse experience, 3 years must be in relevant practice area, ... required Must be able to perform as preceptor, required Minimum 2 years Registered Nurse experience in relevant practice area, if Education is BSN or MSN,… more
- Crouse Hospital (Syracuse, NY)
- …the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing degree ... Crouse's Care Coordination Services team is hiring a Care Manager to review the services delivered to...maintaining the quality of care. + Participates in the utilization management process using standards of care to determine… more
- Northwell Health (Huntington, NY)
- **Req Number** 152919 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
- Northwell Health (Mount Kisco, 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
- Albany Medical Center (Albany, NY)
- …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), ... or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests...facilitates call-backs to patients as necessary + Facilitates the utilization of resources to meet patient outcomes and contribute… more
- Molina Healthcare (Albany, NY)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) or State Clinical Social Worker/Counseling… more
- CenterWell (Liverpool, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...NY state requirement. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Rochester Regional Health (Rochester, NY)
- …care, Nursing, Case Management, or Utilization Management experience preferred. * Registered Nurse with current New York State License * Case Management ... resources while maintaining the quality of care. The Care Manager actively participates in the utilization management...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
- Guthrie (Binghamton, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review , and payer knowledge. A Case… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of...care to MCC in response to physician order, or review of updated clinical information Acts as a resource… more