- 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
- Northwell Health (Sleepy Hollow, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
- Catholic Health (Buffalo, NY)
- …and Holiday Rotation Hours: Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …those that are critically ill and in need of higher level of care. The Registered Nurse ( RN ) - ICU executes position responsibilities that demonstrate ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...Western New York VA Medical Center is seeking a Registered Nurse to work Full Time (Nights)… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …by collaborating with members of the interdisciplinary team. The Referral Coordination Team (RCT) Registered Nurse ( RN ) ) is responsible for executing a ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …to apply. Responsibilities The Batavia VA Medical Center is seeking a qualified full-time Registered Nurse ( RN ) to join Long-term care in the Community ... applicants will be considered and referred as vacancies become available. The CLC Registered Nurse is responsible and accountable for all elements of the… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …application. Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Crouse Hospital (Syracuse, NY)
- …establish the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare it...(3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred.… more
- Northwell Health (Glen Cove, NY)
- …patient transfer to inpatient bed and ensures hand off communication to accepting nurse . + Promotes optimum utilization of hospital beds by conducting rounds ... + Intervenes in conflicts as needed. + Liaises with Case Management to facilitate patient discharge, inter-facility and intra-hospital...Nursing, required. + Current License to practice as a Registered Professional Nurse in New York State… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address ... Provider Relations, explaining processes for accessing Health Plan to perform medical review , obtains case or disease management support, or otherwise interacts… more