- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- Mohawk Valley Health System (Utica, NY)
- RN - Case Manager - Full...Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or ... - Days - 4 - 9.5 Hour Shifts Department: CASE MGMT Job Summary Reports to and is under...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN / Case Manager MSH Case ...in homecare, long term care or utilization review preferred. + Discharge Planner or Case ... or a minimum of 3-5 years experience as a RN in an acute care setting **Certification Requirements:** Current...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case… more
- Nuvance Health (Carmel, NY)
- … RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... affiliates, Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... with minimum direction. + Act as a resource for utilization review stakeholders and assists team members...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Guthrie (Binghamton, NY)
- …of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining a ... make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
- CVS Health (Albany, NY)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Elevance Health (Latham, NY)
- …of 4 years managed care experience and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of ... is granted as required by law. The **Medical Management Nurse ** is responsible for review of the...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager ... of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those… more
- FlexStaff (Lake Success, NY)
- **Req Number** 177188 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
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