- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS: BLS preferred. PHYSICAL… more
- FlexStaff (New York, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally authorized (for example,… more
- CenterLight Health System (Ridgewood, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... review , and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of...Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be… more
- MVP Health Care (Rochester, NY)
- …York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment,...coordination of quality cost effective care. + The Case Manager will also monitor and review cases… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to… more
- Mount Sinai Health System (New York, NY)
- …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State + National Board Certification in Advanced ... **Job Description** **Job Title: Advanced Practitioner Provider Manager - Tisch Cancer Institute-Mount Sinai Hospital- Full Time...approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion… more
- UHS (Johnson City, NY)
- Position OverviewPosition Summary: United Health Services is seeking a Nurse Manager to lead our Obstetrics Unit, overseeing daily clinical operations and staff ... collaborative environment for both patients and team members. The Nurse Manager provides direct supervision, facilitates evidence-based...Bachelor degree in Nursing + Current New York State Registered Nurse License + Three (3) years… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... transitional care experience. The Care Manager - Readmission Specialist_ _identifies hospitalized patients who may...may be at a high risk for readmission. The RN following these patients must have good clinical and… more
- Fresenius Medical Center (New York, NY)
- …may be required. **SUPERVISION:** None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical… more
- 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 also responsible for...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more