- Centene Corporation (New York, NY)
- …unit's performance data to include various contracted performance measures, service utilization and member/provider complaint and quality of care trends + Coordinate ... quality improvement experience. **Licenses/Certifications:** Current state's clinical license (LPN, RN , etc.).Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- Healthfirst (NY)
- …Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to ... + Occasional overtime as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST license For CASAC… more
- Kaleida Health (Williamsville, NY)
- …Bachelors in Nursing required. Bachelors or Masters in Social Work preferred. RN Licensure required. **Experience** **2 years of experience in Acute care Nursing ... years of experience In any combination of: case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set and… more
- St John's Community Services (Ithaca, NY)
- …body as determined by the Office. + A counselor certified by and currently registered as such with the National Board of Certified Counselors. + A rehabilitation ... A professional licensed by the NYS Department of Education including PA, NP, RN , Psychologist, Occupational Therapist, or Social Worker (LMSW, LCSW). + A mental… more
- WMCHealth (Valhalla, NY)
- …in a hospital setting, preferably cardiology, radiology, surgery or utilization review, required. Previous revenue integrity experience, Excel and Electronic ... Medical Records experience preferred. Education: Graduate of an accredited program ( RN ,MD,PA), degree in healthcare preferred. Bachelor's degree or equivalent work… more
- Guthrie (Cortland, NY)
- …of patient care for patients of all age groups under the direction of an RN , including but not limited to: + Lifting, turning, and positioning patients + Observing ... charging of supplies,; performing other division-specific tasks, and appropriate utilization of available resources. + Demonstrates initiative in completing work… more
- Healthfirst (NY)
- **Duties and Responsibilities:** + Leads and manages daily Reassessment Nurse operations such as overseeing scheduling and staffing, providing clinical ... + Additional duties as assigned. **Minimum Qualifications:** + NYS RN License. + US based field work experience of...+ Relevant clinical experience such as previous care or utilization management, home care, or geriatrics + Knowledge of… more
- US Tech Solutions (Tarrytown, NY)
- …initiatives. - Lead material resource selection, standardization, price optimization and utilization initiatives while promoting and utilizing Value Analysis in the ... . BS degree or equivalent combination of education and experience such as MD, RN , PA, CNA or LPN/LVN . Minimum of seven years' experience in Healthcare, project… more
- Utica College (Utica, NY)
- …laboratory to include open lab hours, lab classes, clinical skill competencies and utilization of the lab for other disciplines/requests. + Maintain an inventory of ... & Experience Qualifications + Master's degree in nursing with current and unencumbered NYS RN license. + 1-2 years of acute care hospital experience required. + BLS… more
- Utica University (Utica, NY)
- …laboratory to include open lab hours, lab classes, clinical skill competencies and utilization of the lab for other disciplines/requests. + Maintain an inventory of ... Experience Qualifications** + Master's degree in nursing with current and unencumbered NYS RN license. + 1-2 years of acute care hospital experience required. + BLS… more