- 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
- Northwell Health (Mount Kisco, 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)
- …Two (2) years acute care RN experience required + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York... Case Management preferred + Two (2) years RN Case Management experience required If no… more
- Catholic Health (Kenmore, NY)
- …Yes Work Schedule: Days with Weekend and Holiday Rotation Hours: 0800-1800 Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an active ... 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
- Catholic Charities Family Community Services (Newark, NY)
- …in Nursing preferred. **Credentials:** Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required **Experience:** At ... ** Registered Nurse - OASAS** **Job Details**...as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation… 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
- Stony Brook University (Stony Brook, NY)
- …+ Coordinates the design, development, implementation and monitoring of the organizations case management and utilization review functions. + Manages ... of resources, coordination of care across the continuum, utilization review , discharge and transition planning and...Qualifications:** * Possession of license to practice as a registered nurse in New York State. *… more
- Guthrie (Binghamton, NY)
- …services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service requests within ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to… 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
- Mohawk Valley Health System (Utica, NY)
- …Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member care needs ... RN Supervisor Case Management - Full...Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New… more
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