- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a...facility's Employee Handbook and as communicated by the facility's management . . Contributing to a positive work team by… more
- Mount Sinai Health System (Long Island City, NY)
- **Job Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to ... field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions… more
- Nuvance Health (Poughkeepsie, NY)
- …BSN preferred. Must have current RN license. *Preferred Experience: * Utilization Review / Management .Company: Vassar Brothers Medical Center Org Unit: ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Guthrie (Corning, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review … more
- Stony Brook University (Stony Brook, NY)
- …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... may be at a high risk for readmission. The RN following these patients must have good clinical and...is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization… more
- 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
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member ... RN Supervisor Case Management - Full...Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New… more
- MVP Health Care (Tarrytown, NY)
- …+ Minimum 4 years of clinical nursing experience. + At least 2 years in utilization management sub-acute care review . + 2+ years of supervisory experience ... To achieve this, we're looking for a **Leader, Concurrent Review ** to join #TeamMVP. If you have a passion...**Qualifications you'll bring:** + Current and unrestricted NY, VT RN license. + Associate or bachelor's degree in nursing… more
- Catholic Health (Buffalo, NY)
- …parties (the payers) and internal stakeholders including, but not limited to, Utilization Review , Case Management , Clinical Documentation Integrity, Health ... , operational analysis, information systems or related field + Registered Nurse with a four (4) year... management + Certification in a Nationally Recognized Utilization Review Criteria set is preferred EXPERIENCE… more
- Mohawk Valley Health System (Utica, NY)
- …regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work ... RN - Case Manager - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case Management Department.… more