- 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
- Mohawk Valley Health System (Utica, NY)
- RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is ... responsible for the oversight of the case management staff's authorization/coordination/ utilization and...Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New… more
- Guthrie (Corning, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient… 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
- Rochester Regional Health (Rochester, NY)
- …10/28/2024, 3 years acute hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience ... Job Title: Care Facilitator Department: Case Management Location: Canton-Potsdam Hospital with...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… 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
- Rochester Regional Health (Rochester, NY)
- Job Title: RN Case Mgr I - HC STATUS:...as level I, plus: Understands when to escalate to management . Required Qualifications: * Registered Nurse ... Monroe County Sign-On Bonus: Up to 20,000 SUMMARY: The RN Case Manager is responsible for the...minimum of 2 years of home care experience. + Registered Nurse license in New York State.… more
- CVS Health (Albany, NY)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Rochester Regional Health (Rochester, NY)
- …in New York State as a Registered Nurse PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience + Bachelor's Degree ... utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- WMCHealth (Suffern, NY)
- …) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health System. This position ... care. RESPONSIBILITIES: + Oversees the patient assessment process within the Case Management department to identify pertinent/potential patient problems. +… more