- Molina Healthcare (Buffalo, NY)
- …* UAS experience * Experience conducting home visits Required Licensure or Certification: * Registered Nurse ( RN ) State Specific Requirements: * Must reside ... for Medicaid and Medicare. We are looking for a RN candidate with a Uniform System Assessor (USA) or...and using durable medical equipment (DME). * Experience in utilization review, concurrent review and/or risk management a plus.… more
- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... of the Long Term Care Department. + Ensures the utilization of the nursing process in maintaining quality of...g. Will be responsible for the completion of all RN /LPN and CNA annual evaluations as assigned. h. Will… 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...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates… more
- WMCHealth (Warwick, NY)
- …experience. Current licensure in the State of New York as a Registered Nurse . Understanding of Medicare/Medicaid criteria and insurance regulations and ... Case Manager ( RN ) Company: St Anthony Community Hospital City/State: Warwick,...System. This position manages activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining… more
- Highmark Health (Albany, NY)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... Description :** **JOB SUMMARY** This job is for an RN who will be directly responsible for outcomes of...of claims submission for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps… more
- Guthrie (Johnson City, NY)
- …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse with 5 years' experience, preferably in an ... New York and Pennsylvania. The applicant must have a current license as a Professional Registered Nurse in their state of practice prior to position start date.… more
- FlexStaff (Ridgewood, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be legally authorized (for example, ... Delivery reports. + Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. +...the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to… more
- Mohawk Valley Health System (Utica, NY)
- …critical care nursing. Licensure/Certification Requirements REQUIRED: + Valid, unrestricted License as a Registered Nurse in the State of New York. + BLS, ACLS ... RN -Hospital Supervisor - Part Time-Variable Shifts Department: COMMAND...staff, patients or families in the absence of the Nurse Manager, and as assigned. + Completes administrative reports… more
- Trinity Health (Syracuse, NY)
- …candidate will have three to five years supervisory experience. + Current licensure as a Registered Nurse in New York State. Graduate of an accredited School of ... Night Shift **Description:** This is an exciting career opportunity for experienced Registered Nurses (RNs) looking to join a resilient and exceptional leadership… more
- FlexStaff (New York, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally authorized (for example, ... Clinical Delivery reports. Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. Balance...the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to… more