- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …for consideration as vacancies are available. The Nurse Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Castle Point, NY)
- Summary The RN CLC is responsible for all sections of...level degree in Nursing may have opportunity to become registered as a nurse with a state ... the nursing process when providing supervising direct resident care. The RN accepts responsibility for the coordination of care focused on resident education, self-… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + Leads ... management rounds. + Provision of clinical oversight and leadership to Utilization Management / Case Management (UM/CM) staff working with the… more
- Rochester Regional Health (Rochester, NY)
- …of acute hospital care, Nursing, Case Management , or Utilization Management experience preferred. * Registered Nurse with current New York State ... of care. The Care Manager actively participates in the utilization management process using standards of care...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- Excellus BlueCross BlueShield (Utica, NY)
- …cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as ... depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of… more
- Catholic Health (Buffalo, NY)
- …year experience as a registered nurse required + One year previous case , disease, or utilization management experience preferred + One year previous ... of Science Degree in Nursing required + Current, unrestricted licensure by New York State as a Registered Nurse ( RN ) required EXPERIENCE + Minimum of (1)… more
- Guthrie (Corning, NY)
- …assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). ... of the hospital computer system as it relates to case management . Education, License & Cert: BSN...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management , discharge planning and utilization review. Responsibilites: Reviews admissions and ... retrospective medical necessity and/or compliance with reimburesement policy criteria. Provides case management and/or consultation for complex cases. Assists… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational… more
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