- Calvary Hospital (Bronx, NY)
- …and identify the expected length of stay (ELOS). The RNCM participates in the Utilization Review , Discharge Planning, Risk Management , and Quality Assessment ... + Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk...in nursing or health care related field preferred. + Registered professional nurse , currently unencumbered NYS licensure.… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse Manager - Outpatient Cardiology Office - Albany, NY - FT - Days** If you are looking for ... a Clinical Nurse Manager position in an Outpatient Cardiology practice, this...as appropriate governmental and other regulatory standards. Insures clinical management presence during working hours. + Ensures timely performance… more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Bassett Healthcare (Cooperstown, NY)
- …experience as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ ... Certification: + Current NYS license as a Registered Nurse , required + BLS certification will...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
- Molina Healthcare (Albany, NY)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Calvary Hospital (Bronx, NY)
- …Flex Spending, Transit Check. + Free On-Site Parking Requirements Participates in the Utilization Review , Discharge Planning, Risk Management , and Quality ... unencumbered NYS licensure. + Five (5) or more years experience in either Utilization Management , Quality Assessment and Improvement, Risk Management , and/or… more
- Bassett Healthcare (Herkimer, NY)
- …Experience: + New graduate or less than one year of experience as a Registered Nurse , required License/ Certification: + NYS licensure as Registered ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule. + ( RN… more
- Bassett Healthcare (Delhi, NY)
- …before 12/19/17 are/remain exempt from this requirement. Experience: + Minimum 5 years of Registered Nurse experience, 3 years must be in relevant practice area, ... to perform as preceptor, required + Minimum 2 years Registered Nurse experience in relevant practice area,...or be suspended at any time. Bonus Amount: + RN (excluding management ) sign-on bonuses are awarded… more
- Bassett Healthcare (Cooperstown, NY)
- …desired. License/Certification: + Required - License - NYS licensure as Registered Nurse or valid interim permit is required ( RN I) + Required - ... and holiday coverage as well as weekday coverage. The Registered Professional Nurse Acute Care is accountable...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule + ( RN… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, experience with ... contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients… more