- MVP Health Care (Rochester, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management ...with an established interdisciplinary team. + The role requires review of a comprehensive assessment and development of a… more
- Fresenius Medical Center (New York, NY)
- …may be required. **SUPERVISION:** None **EDUCATION AND REQUIRED CREDENTIALS** **:** + Registered Nurse required + Certification in Nephrology Nursing or quality ... barriers to quality improvement. This includes promoting the adoption and utilization of Medical Advisory Board Recommended Algorithms and Standing Orders, clinical… 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
- 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
- Northwell Health (Mount Kisco, NY)
- …Case Management and Social Work Services team. Develops processes to monitor utilization review inclusive of length of stay (LOS) and resource reduction ... safe discharge back to the community. Job Responsibility 1.Leads RN case management and social work services...be in Nursing. *Current license to practice as a Registered Professional Nurse in New York State,… more
- Stony Brook University (Stony Brook, NY)
- …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... may be at a high risk for readmission. The RN following these patients must have good clinical and...is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization… more
- Healthfirst (NY)
- …members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The Case Manager, Utilization Management ... The Case Manager, Utilization Management coordinates the care plan...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- CVS Health (Albany, NY)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...or changes in condition to be transitioned back to RN . - Complete post discharge call and required assessments… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... as needed. **Preferred Qualifications:** + Master's Degree, + Certified RN , + CM Five years Case management ...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Mount Sinai Health System (New York, NY)
- …shift changes for job codes under the department of nursing such as Nurse Leaders, Educators, Registered Professional Nurses, Patient Care Associates, Nursing ... the Nursing Department. The Staffing Office collaborates with Nursing Leadership to review and develop schedules based on agreed upon staffing guidelines, models and… more