- Arnot Health (Elmira, NY)
- … Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have proficient ... Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal...writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION… more
- Albany Medical Center (Albany, NY)
- …of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
- Mount Sinai Health System (New York, NY)
- …emergencies and supporting patient-centered care. **Qualifications** ? Must be a Licensed Registered Nurse , Physician Assistant or Nurse Practitioner ... 4. One (1) year of Patient Flow experience preferred 5. EPIC experience preferred. Registered Nurse Licensed NYS Registered Professional Nurse … more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + Leads ... rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff...the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. + Collaborates with Provider Relations… more
- Rochester Regional Health (Rochester, NY)
- …complete documentation per agency standard and program standard. Participates in utilization review and/or continuous quality improvement activities as ... LOCATION: Monroe County STATUS: Full Time Days SUMMARY The RN - Geriatric Case Manager, Home Care is responsible...the solutions of more complex issues/activities. Required Qualifications: * Registered Nurse license in New York State.… more
- Kaleida Health (Williamsville, NY)
- …care Nursing Experience required. 2 years of experience in any combination of case management , home care and utilization review preferred. Knowledge of and ... members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning...(BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and… more
- WMCHealth (West Nyack, NY)
- …care management standards and community resources highly preferred. Education: Registered Nurse , Bachelor's degree preferred Licenses / Certifications : ... Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange County Union: NO Position:...Current license as a Registered Nurse is required. About Us: Bon… more
- City of New York (New York, NY)
- …requirement above, candidates must have three years of full-time satisfactory experience as a Registered Nurse , two of which must have been in a supervisory ... with the referring agency and the client's caseworker. 2. Review all available clinically relevant material, including referral information,...have three years of full-time satisfactory experience as a Registered Nurse , one of which must have… more
- The Institute for Family Health (Bronx, NY)
- …Must have at least one of the listed licensures/certifications: Current NY State Registered Nurse ( RN ) or Certified Dietitian/Nutritionist (CDN) or Current ... Adjust intensity of service based on needs, and appropriate utilization of resources. + Develop patient centered plan of...reports generated by IFH stats & other available population management registries to review site quality metrics,… more
- Nuvance Health (Poughkeepsie, NY)
- …license or certification in the respective field of qualifying credential (eg, Registered Nurse , LPN, Respiratory Therapist, EMT or Paramedic) * Maintenance ... operator assists in the provision of safe and therapeutic management of patient care to an assigned group of...patient care within the scope of practice as a Nurse ( RN or LPN), Respiratory Therapist, EMT,… more