- Northwell Health (Bay Shore, NY)
- …Performs retrospective reviews as required. + * Participates in the maintenance of Utilization Management , Discharge Planning and Case Management statistics ... of all changes in policies and procedures relating to Utilization Management , Discharge Planning and Case ...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a...facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by… more
- Northwell Health (Mount Kisco, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + ... Submits data to management regarding case management and/or quality initiatives....entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Mohawk Valley Health System (Utica, NY)
- …regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work ... RN Case Manager - Case Management ... RN Case Manager - Case Management - per diem Department: CASE MANAGEMENT...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... 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… more
- Guthrie (Johnson City, NY)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management / utilization review , and payer knowledge. Fast paced ambulatory ... data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse with 5 years' experience, preferably in an… more
- Mount Sinai Health System (New York, NY)
- …and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care facilitation and ... management is preferred Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West...by focusing on patient processes. 9. Develops and implements Utilization Review (UR) based on internal data… more
- FlexStaff (Bronx, NY)
- …(MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management , disease management , utilization review , or quality assurance. + Experience working with ... **Req Number** 157287 Clinical Assessment RN Manager - Bronx FlexStaff is seeking a...using UAS-NY for prospective and enrolled PACE participants. + Review and update previous assessments, primary diagnoses, and medications… more