• MDS Coordinator RN

    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
    Glengariff Rehabilitation and Healthcare Center (10/26/25)
    - Related Jobs

  • Case Manager RN

    Bassett Healthcare (Cooperstown, NY)
    …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... barriers to efficient delivery of care in appropriate setting. + Completes utilization management and quality screening for assigned patients. + Applies… more
    Bassett Healthcare (11/07/25)
    - Related Jobs

  • Logistics RN Bed Management

    Bassett Healthcare (Cooperstown, NY)
    …nursing experience, required Licensure/Certifications: + Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: + Light work: ... a bariatric bed, special equipment, interpreter svc, etc.). + Review previous patient history and updates CL with key...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
    Bassett Healthcare (11/03/25)
    - Related Jobs

  • RN /Case Manager (Inpatient)-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …to: 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using standardized ... **Job Description** ** RN /Case Manager (Inpatient) Mount Sinai Morningside FT Days...Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or… more
    Mount Sinai Health System (11/05/25)
    - Related Jobs

  • Director of Patient Services, Homecare RN…

    The New Jewish Home (Bronx, NY)
    …job functions.) Job Qualifications: + Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in Nursing. + ... Monitors quality of care delivered by staff through record review , conferences, supervisory visits and review of...the latest internal and external issues and trends in utilization and quality management through select committee… more
    The New Jewish Home (10/17/25)
    - Related Jobs

  • RN Case Manager

    Stony Brook University (Stony Brook, NY)
    … Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
    Stony Brook University (10/23/25)
    - Related Jobs

  • Case Manager RN - Per Diem

    Nuvance Health (Carmel, NY)
    …quality indicators such as avoidable delays, length of stay, resource utilization , patient satisfaction, patient flow, outlier management , and readmissions ... Program (MBSAQIP) * Robotic Center of Excellence - Surgical Review Corporation (SRC) At Putnam Hospital, our team members...Putnam Pride is all about. *Summary* The Case Manager RN , working in conjunction with the centralized denial prevention… more
    Nuvance Health (11/18/25)
    - Related Jobs

  • Professional, Sub-Acute RN UM Reviewer…

    MVP Health Care (Tarrytown, NY)
    …of clinical nursing experience + At least 2 years of experience in utilization management of sub-acute Medicare reviews + Experience with Medicare guidelines ... To achieve this, we're looking for a **Professional, Sub-Acute RN UM Reviewer - Medicare** to join #TeamMVP. If...interdisciplinary teams to ensure optimal patient care and resource utilization . + Document review outcomes and maintain… more
    MVP Health Care (09/30/25)
    - Related Jobs

  • Clinical Review Nurse - Concurrent…

    Centene Corporation (New York, NY)
    …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and… more
    Centene Corporation (11/16/25)
    - Related Jobs

  • Primary Care Physician (PCP)

    STG International (Kingston, NY)
    …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activities ... Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in areas of...of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and… more
    STG International (10/08/25)
    - Related Jobs