- CVS Health (Albany, NY)
- …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in clinically… more
- CVS Health (Albany, NY)
- …skills, both verbal and written. **Required Qualifications** + 2+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... is a full-time, telework role. Schedule is Monday through Friday, 8am-5pm EST. Utilization Management is a 24/7 operation and work schedules will include weekends,… more
- CDPHP (Albany, 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
- Rochester Regional Health (Rochester, NY)
- …Time (24 hours per week)Schedule: Evening/Night (6pm-6am), rotating weekends and holidays SUMMARY:As a Registered Nurse ( RN ), you're the engine and the heart ... expert care and support for our team. As a Registered Nurse ( RN ) at Clifton...documentation appropriately. + Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more
- Rochester Regional Health (Rochester, NY)
- …Time (36 hours per week)Schedule: Evening/Night (7pm-7am), rotating weekends and holidays SUMMARY:As a Registered Nurse ( RN ), you're the engine and the heart ... expert care and support for our team. As a Registered Nurse ( RN ) at Clifton...documentation appropriately. + Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more
- Catholic Health Services (Melville, NY)
- …Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as… more
- CenterWell (Albany, NY)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... a team that focuses on excellent service to others. **Required Qualifications** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
- CenterWell (Albany, NY)
- …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain Compact Nursing License + A… more
- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for ... determination of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a professional and… more