- Mohawk Valley Health System (Utica, NY)
- …field. Licensure/Certification Requirements REQUIRED: + Active New York State Licensure as a Registered Nurse ( RN ). PREFERRED: + National Board Certification ... ensure the integration of service line planning into nursing, resource management strategic planning and operational budgets. Lead program planning, implementation… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with...department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager… more
- Albany Medical Center (Albany, NY)
- …or related field. Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, ... and objectives. As a member of the nursing executive management team, the AVP participates in the efficient and...changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by… more
- Guthrie (Binghamton, NY)
- …school of Nursing. * Bachelor's degree in nursing preferred. * Licensed as a Registered Nurse in the State of Pennsylvania * BLS * Certification within ... hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION : Considers… more
- CDPHP (Latham, 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
- MVP Health Care (Tarrytown, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment, planning,… more
- Arnot Health (Elmira, NY)
- … registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three to five years ... patient care . The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload will… more
- Mount Sinai Health System (New York, NY)
- …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State + National Board Certification in Advanced ... as a liaison to nursing, medicine, department chairs/chiefs, care management , administration, and other department leadership. Ensures advanced practice nurses… more
- Kaleida Health (Buffalo, NY)
- …preferred. RN licensure required.** **Experience** **10 years of care management / utilization management experience required in hospital and/or ambulatory ... **VP Care Management Post-Acute Care Transition** **Location:** **Buffalo General Medical...**The Vice President (VP) role supports the system Chief Nurse Executive (CNE) in providing executive leadership and guidance… more
- Calvary Hospital (Bronx, NY)
- …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... Knowledge of and experience in Quality Assessment and Improvement, Utilization Review. 9. Ability to develop management ...Improvement, Utilization Review. 9. Ability to develop management systems to track data over time. Benefits Benefits:… more