- Northwell Health (Sleepy Hollow, 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 (Buffalo, NY)
- …Nurse home visits. Responsibilities: EDUCATION + Licensure and current registration as a Registered Professional Nurse in the State of New York required + BSN ... follow-up as indicated. Develops programs to improve clinical outcomes and utilization of monitors with exceptional communication skills to deal with physicians,… more
- Humana (Albany, NY)
- …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing… more
- Trinity Health (Albany, NY)
- …and perceiving our world and that these differences often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - ... St. Peter's Hospital--Full-TIme Days** If you are looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference, this could… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical… more
- Guthrie (Binghamton, NY)
- …care services regarding admissions, case management, discharge planning and utilization review. Responsibilites: Reviews admissions and service requests within ... needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to federally… more
- Independent Health (Buffalo, NY)
- …Degree in Nursing required; Bachelor's degree preferred. Current, active, unrestricted, and licensed registered nurse ( RN ) required. + Two (2) years of ... culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review...clinical experience as an RN in a varied clinical… more
- CVS Health (Albany, NY)
- …+ **MUST LIVE IN EASTERN STANDARD TIME ZONE** + 4-5 years of experience as a Registered Nurse in adult acute care, critical care , emergency or med/surg setting ... + Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include… more
- CDPHP (Latham, NY)
- …two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is preferred. + ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
- Villa of Hope (Rochester, NY)
- …JOB SUMMARY: Under the general direction of the Nurse Manager, the Intake Coordinator- RN is a Registered Nurse who will assist in supervising Clinical ... risk for suicidal behaviors or leaving against medical advice. MINIMUM QUALIFICATIONS: + NYS Registered Nurse license + Bachelor degree preferred + At least 3… more