- Mohawk Valley Health System (Utica, NY)
- …a health related field Licensure/Certification Requirements REQUIRED: + Licensed NYS Registered Nurse . + CPHQ certification. Disclaimer Qualified applicants will ... of clinical experience. Previous or current experience working in Quality Management/ Utilization Management field. + 5 years of management experience with proven… more
- WMCHealth (Warwick, NY)
- …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion of MDS 3.0 and… more
- WMCHealth (Valhalla, NY)
- …administer care using good judgment, methods, and skills under the direction of a Registered Nurse or Physician. The Senior Medical Assistant acts as a liaison ... faxing and filing of confidential documents; and basic Internet and email utilization . + Maintains a professional appearance and a clean, safe environment. +… more
- Northwell Health (Mount Kisco, NY)
- …or Masters must be in Nursing. *Current license to practice as a Registered Professional Nurse in New York State, required, plus specialized certifications ... plans, implements and evaluates all activities of the inpatient RN Case Management and Social Work Services team. Develops...and Social Work Services team. Develops processes to monitor utilization review inclusive of length of stay (LOS) and… more
- Ellis Medicine (Schenectady, NY)
- …appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management...the Case Manager include, but are not limited to, utilization review, case management, care transition, collaboration with physicians… 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 efficient ...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- Stony Brook University (Stony Brook, NY)
- …hospitalized patients who may be at a high risk for readmission. The RN following these patients must have good clinical and communication skills to address ... the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. *...analysis * Adheres to all State and Federal requirements, RN license, JACHO, CMS and DOH regulations. * Maintain… more
- SUNY Upstate Medical University (Syracuse, NY)
- …coordinating, facilitating and monitoring resources to achieve optimal clinical outcomes, utilization of services, and financial goals. The Clinical Case Manager ... appropriate discharge plan/plan of care. Minimum Qualifications: NYS licensed RN (or eligible), Bachelor's degree in Nursing or a...plus a minimum of three (3) years acute care RN or acute care, transitional care, or chronic care… more
- Elevance Health (Latham, NY)
- …and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to ensure cost ... effective utilization of health, mental health, and substance abuse services...would provide an equivalent background. + Current active unrestricted RN , PA, LSW, LCSW, LPC, LMHC or other accepted… more
- Nuvance Health (Poughkeepsie, NY)
- …care. Must have Associate's Degree or BSN preferred. Must have current RN license. Preferred experience in Utilization Review/Management.Company: Vassar Brothers ... affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the… more