- Centene Corporation (New York, NY)
- …experience. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. RN or LPN Preferred ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...- Licensed Vocational Nurse required or + RN - Registered Nurse -… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...Certification/Licensure + Licensed in New York State as a Registered Nurse Required Years of Experience +… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... per week Schedule: M-F Days 8am-430pm SUMMARY: As a Registered Nurse - Care Manager, your excellent...* 3 years of acute hospital care, Nursing, Case Management , or Utilization Management experience… more
- Independent Health (Buffalo, NY)
- …licensed behavioral health professional (such as a LCSW, LMSW, LMHC, LPC, LMFT) or a Registered Nurse ( RN ) with active, unrestricted NYS license required. + ... that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be responsible for managing… more
- Kaleida Health (Williamsville, NY)
- …Office Suite and Outlook. 2 years of experience In any combination of: case management , home care and utilization review preferred. Knowledge of and ... **Patient Management Supervisor** **Location:** Millard Fillmore Suburban **Location of...Nursing required. Bachelors or Masters in Social Work preferred. RN Licensure required. **Experience** **2 years of experience in… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Mount Sinai Health System (New York, NY)
- …REQUIREMENTS** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: 3. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Evolent (Albany, NY)
- …in Nursing (Must be a Registered Nurse ) + Experience as an RN in a Pain Management setting is preferred + Strong interpersonal and communication skills ... , you will be a key member of the utilization management team. We can offer you...Nurse , you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff… more
- Arnot Health (Elmira, NY)
- …related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. ... nursing program with a current license as a registered nurse . BSN or Case Management...nursing in acute care hospital setting or two years utilization management in an acute care hospital… more