- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... SUMMARY As a Registered Nurse - Care Manager, your...+ Three (3) years of acute hospital care, case management or utilization management experience… more
- Northwell Health (Forest Hills, NY)
- …, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge planning, ... 2. are appropriately arranged for and financially approved.Performs concurrent utilization management .Reviews appropriateness of patient's admission, need for… more
- Molina Healthcare (Rochester, NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (Albany, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician RN provides support for clinical member services review...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... or a minimum of 3-5 years experience as a RN in an acute care setting. Licensing and Certification...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more
- Catholic Health Services (West Islip, NY)
- …degree required. + Master of Science degree strongly preferred. + Licensure: New York Registered Nurse ( RN ) License & Registration. + Certification: Care ... hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning… more
- Molina Healthcare (Bronx, NY)
- …, and/or managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... cost-effective member care. Essential Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health, and/or… more
- Molina Healthcare (Albany, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical...member care. The candidate must have Medicare Appeals and/or Utilization Management knowledge. Work hours are Monday-Friday… more
- Rochester Regional Health (Rochester, NY)
- …other team members as needed.* Perform other duties as assigned. REQUIRED QUALIFICATIONS: + Registered Nurse license in New York State + Associate of Science in ... for a variety of nursing functions in support of management and staff. Serves as a resource for clinical...QUALIFICATIONS: + 1 - 3 years' experience as a Registered Nurse + Certification in area of… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** **Description:** The Registered Nurse Supervisor is a dynamic leadership role that contributes to the operational ... management of the unit to promote and support an...established by various licensing, regulatory, and accreditation bodies. An RN Supervisor maintains a working knowledge of policies and… more