- Excellus BlueCross BlueShield (Rochester, NY)
- …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- Albany Medical Center (Albany, NY)
- …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
- WMCHealth (Suffern, NY)
- … experience. Current licensure in the State of New York as a Registered Nurse . Understanding of Medicare/Medicaid criteria and insurance regulations and ... Case Manager ( RN ) Company: Good Samaritan Hospital City/State: Suffern, NY...Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Care Management Union: YES Union… more
- Trinity Health (Syracuse, NY)
- …looking for an exciting career, this is your opportunity. **Position Purpose:** The Registered Nurse Coordinator is a dynamic leadership role that contributes to ... all specialties and all ages. The Emergency Department offers RN 's the opportunity for a wide variety of patient...the operational management of the unit to promote and support an… more
- Northwell Health (Staten Island, NY)
- …Nursing, required. * Current license to practice as a Registered Professional Nurse in New York State. * Case Management Certification, preferred. * Minimum ... another level of care according to regulatory standards. * * Performs concurrent utilization management using Interqual criteria. * Conducts chart review for… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in state of practice. + ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...appropriate follow-up action is taken + Facilitates the Care Management Process engaging the resident, IDT and family in… more
- City of New York (New York, NY)
- …requirement above, candidates must have three years of full-time satisfactory experience as a Registered Nurse , two of which must have been in a supervisory ... Medical and Mental Health Directors when needed and regarding utilization off MHL Section 9.37 authority. 7. Attend office...have three years of full-time satisfactory experience as a Registered Nurse , one of which must have… more
- Trinity Health (Syracuse, NY)
- …comprehensive interdisciplinary care from admission to discharge. **Position Purpose:** The Registered Nurse Coordinator is a dynamic leadership role that ... contributes to the operational management of the unit to promote and support an...that supports and leads unit and/or organizational changes. A RN Coordinator helps to identify problems, offers solutions, and… more
- Molina Healthcare (Syracuse, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines + Works with… more