- Guardian Life (Albany, NY)
- **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
- Bassett Healthcare (Cooperstown, NY)
- …management experience, preferred License/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Case management certification, ... quality of life possible. What you'll do The Unit Clinical Care Coordinator RN Unit C3 acts a principle liaison between emergency services, surgical services,… more
- Elevance Health (Buffalo, NY)
- …to client needs, and direct, hands-on engagement._ **The LTSS Svc Coordinator RN -Clinician** is responsible for overall management of member's case within the scope ... of licensure. The RN has overall responsibility to develop the care plan...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… 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 ), the ... state accredited Registered Nursing program is required * NYS current RN licensure to practice professional nursing is required * Current CPR certification… more
- Centers Plan for Healthy Living (Queens, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify ... their home to improve their quality of life. The Utilization Management nurse will assess and process...Type of Experience Required: + Active and unrestricted NYS RN license + Minimum 2 years utilization … more
- Stony Brook University (Stony Brook, NY)
- …coverage as needed and other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse working on their degree with ... RN Case Manager **Position Summary** At Stony Brook...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Molina Healthcare (Rochester, NY)
- …care/medical experience. R **equired License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. MULTI ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **Preferred… more
- Highmark Health (Albany, NY)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or… more
- Bassett Healthcare (Cooperstown, NY)
- …care nursing experience, required Licensure/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: Light work: ... the best quality of life possible. What you'll do The Logistics C3 RN is responsible for appropriate placement for patient admissions, coordinating and expediting… more
- Highland Hospital (Rochester, NY)
- **16426BR** **Title:** Clinical Care/Case Manager ( RN Case Manager) **Department/Cost Center:** 760 - Ambulatory Care Unit **Job Description:** *Highland Hospital is ... seeking a Full Time RN Care Manager to join its growing team. This...Care Manager's central role integrates and coordinates access and utilization management, proactive patient management, care facilitation and treatment… more
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