- Trinity Health (Albany, NY)
- …other related duties as assigned Experience and Requirements + Active Licensure as a registered nurse , preferably with a **bachelor's degree** in nursing from an ... Skilled Nursing Facilities have a unique opportunity for a RN to receive, review and process referrals...accredited school and Certified Registered Rehab Nurse preferred (CRRN). + A… more
- Excellus BlueCross BlueShield (Rochester, 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
- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... Term Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective time management ,… more
- FlexStaff (Flushing, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: - Be legally authorized (for example, ... to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee… more
- FlexStaff (New York, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally authorized (for example, ... to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee… more
- FlexStaff (Ridgewood, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be legally authorized (for example, ... **Req Number** 157759 JOB RESPONSIBILITIES: + Review and ensure effective development and execution of...Delivery reports. + Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. +… more
- Molina Healthcare (NY)
- …of the state health plan's Healthcare Services (clinical operations) teams including Utilization Management (prior-authorization, inpatient review ) and Care ... Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization ...Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in… more
- Mount Sinai Health System (New York, NY)
- …+ Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized ... Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or...Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West… more
- Guthrie (Binghamton, NY)
- …in nursing practice. + Preferred experience with care management / utilization review , and payer knowledge. + RN considered. Education: + Completion of an ... to a $15,000.00 Sign on Bonus! Summary: The Wellness Nurse plays a key role in health promotion and...to health promotion and illness prevention, as well as management of chronic conditions. + Educates patients and their… more
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