- STG International (Auburn, NY)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in of areas...of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and… more
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive... utilization management processes preferred.… more
- Mount Sinai Health System (Long Island City, NY)
- …REQUIREMENTS** Licensure: New York State License with current registration as a registered nurse . 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...as 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** + Licensure: New York State License with current registration as a registered nurse . + 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
- CDPHP (Latham, NY)
- …Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New ... a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and...Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience… more
- Rochester Regional Health (Rochester, NY)
- …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...required + Licensed in New York State as a Registered Nurse + For hires after 10/28/2024,… 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
- Sharecare (Albany, NY)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… 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
- New York State Civil Service (Albany, NY)
- …be asked for their social security number to verify eligibility. Current registration as a Registered Nurse ( RN ) with the New York State Education Department ... New York State license and registration as a professional registered nurse AND four years of post-licensure...but are not limited to: Experience in discharge planning, utilization review , treatment plan development for individuals… more
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