- FlexStaff (Bronx, NY)
- …Care Programs (MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management , disease management , utilization review, or quality assurance. + Experience ... **Req Number** 157287 Clinical Assessment RN Manager - Bronx FlexStaff is seeking a... license in New York State. + Strong clinical management and customer service skills. + Bilingual skills are… more
- Elevance Health (Latham, NY)
- …(ABA) services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of ... equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...**Preferred Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral… more
- FlexStaff (New York, NY)
- …contact hours of mandatory training requirements such as infection control coursework. Case Management Certification recommended within two (2) years of the ... care. Serve the organization as a member of the management team, working alongside with all departments and employees...license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally… more
- Elevance Health (NY)
- …The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision ... and direction to non- RN clinicians participating in the member's case ...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
- Lincoln Financial (Albany, NY)
- …Critical Care, Orthopedics, Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- Bassett Healthcare (Cooperstown, NY)
- …preferred License/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Case management certification, preferred Skills: ... provide care appropriate to each patient. Clinical and Technical Responsibilities: Provides case management services as appropriate throughout the life span and… more
- Elevance Health (Buffalo, NY)
- …hands-on engagement._ **The LTSS Svc Coordinator RN -Clinician** is responsible for overall management of member's case within the scope of licensure. The ... individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of… more
- Bassett Healthcare (Cooperstown, NY)
- …preferred License/Certification: Current NYS Licensure as a Registered Professional Nurse , required Case Management certification, preferred Skills: ... provide care appropriate to each patient. Clinical and Technical Responsibilities: Provides case management services as appropriate throughout the life span and… more
- Molina Healthcare (Albany, NY)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Albany Medical Center (Albany, NY)
- …department. + Facilitates the utilization of resources to meet patient outcomes ( case management ). + Analyzes patient care needs and utilizes a systematic ... States of America) Salary Range: $60,028.00 - $99,023.00 Urogynecology Nurse ( RN ) Division of Urogynecology within the...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more