- 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
- WMCHealth (Warwick, NY)
- …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... to ensure facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion… more
- Highmark Health (Albany, NY)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Calvary Hospital (Bronx, NY)
- …Transit Check. + Free On-Site Parking Qualifications: + Current New York State Registered Nurse License, registration. + Current BLS from AHA (American Heart ... of at least five years. + Demonstrated competence in a progressive leadership/ management position of 2-3 years. Education: + Bachelor's Degree in Nursing required,… more
- University of Rochester (Rochester, NY)
- …(RHIT) Program Preferred **_or_** + Licensure/credentials in clinical specialty such as Registered Nurse , Licensed Practical Nurse , or Emergency Medical ... requests, and external oversight: ie) NYS DOH, ACS Committee on Trauma Registry Management : + Monitor security of data to ensure the integrity and reliability of… more
- UHS (Johnson City, NY)
- …in Nursing and Masters in Business or HealthCare related field. + New York State Registered Nurse License or eligible + Five (5) years of clinical nursing ... and accountability through Just Culture principles. This role collaborates with nurse managers, physicians, and administrative leaders to lead strategic planning,… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This...the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration… more
- CVS Health (Albany, NY)
- …Operations and others on initiatives for Stars/quality improvement **Required Qualifications** - Registered Nurse with active and unrestricted license in state ... and quality but will also focus on improvements in utilization and cost. The Senior Clinical Strategist works to...the candidate resides - 4+ years of case management experience - 3+ years clinical experience - 1+… more
- Garnet Health (Harris, NY)
- …credentials, negotiated contracts, budget and internal equity). Qualifications Minimum Education: Registered Nurse with New York State Licensure or Master's ... to make your career home with us as a Case Manager on our Case Management team at/in Garnet Health Medical Center Grover Hermann Hospital located in Callicoon, NY.… more
- Nuvance Health (Poughkeepsie, NY)
- …skills *License, Registration, or Certification Requirements:* * Current New York State a Registered Nurse license. * PREFER: QAPI certificate. Company: HQ Home ... assists in the implementation of the Agencyi? 1/2s Performance Improvement, Risk Management , Infection Control, and OASIS programs to ensure compliance with JCAHO,… more