- MVP Health Care (Rochester, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that...the coordination of quality cost effective care. + The Case Manager will also monitor and review … more
- Healthfirst (NY)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager, Utilization Management is also responsible...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- Nuvance Health (Poughkeepsie, NY)
- …preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190 ... various affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... as needed. **Preferred Qualifications:** + Master's Degree, + Certified RN , + CM Five years Case management...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... the Care Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...Certification/Licensure + Licensed in New York State as a Registered Nurse Required Years of Experience +… more
- Rochester Regional Health (Rochester, NY)
- …BS LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Job Title: Nurse Navigator - Heart Failure Clinic Location: Rochester...after admission-within the first 12 to 24 hours. Applies utilization review criteria to assess and document… more
- City of New York (New York, NY)
- …psychiatry or in child welfare are highly preferred. A valid New York State Registered Nurse License is required. Bachelor's Degree of Science in Nursing and ... care is comprehensive and appropriate. OCFH also offers individualized case consultations and training to ACS staff and foster...have three years of full-time satisfactory experience as a Registered Nurse , two of which must have… more
- Kaleida Health (Williamsville, NY)
- …of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set and ... Basic Life Support (BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and American Heart Association-Basic Life… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- … of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Dialysis Registered Nurse ( RN ) is a professional nurse with ... BSN 3-5 Years Med/Surg or Critical Care experience At least 1 year of recent registered nurse dialysis experience Caring for acute and , chronic Hemodialysis and… more
- Mount Sinai Health System (Long Island City, NY)
- …Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate ... field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions… more