- Albany Medical Center (Albany, NY)
- …Experience in the field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning. * BLS ... principles of conflict resolution and promote consensus building.* Represents Case Management/Social Work at organizational committee meetings as directed* Serves… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …Assurance) as required, and as directed by their supervisor and Administrator MDS Director RN Qualifications: + Registered Nurse with current, active license ... MDS Director RN Glengariff Rehabilitation and Healthcare Center is looking...basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …team. The RN for Cardiac Catheterization and/or Electrophysiology Laboratory (CCL) Registered Nurse ( RN ) is responsible for providing competent, ... education, orientation, competencies, and providing quality improvement and outcomes utilization . The CCL RN delivers and manages...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Arnot Health (Elmira, NY)
- …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three ... management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's… more
- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective...of the Long Term Care Department. + Ensures the utilization of the nursing process in maintaining quality of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …certifications like Diabetes educator, Pediatric Nursing, Gerontological Nursing. * Current licensed Registered Nurse ( RN ) with state licensure; bachelor's ... services to its clients. Cases are maintained by the Nurse Case manager. The Nurse ... Management. * Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and… more
- FlexStaff (Flushing, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: - Be legally authorized (for example, ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: - Review and ensure effective development and execution of personalized care… more
- FlexStaff (New York, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally authorized (for example, ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure effective development and execution of personalized care… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and...proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION… more