- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Discharge Nurse is accountable for the delivery of safe patient care utilizing the nursing process. ... The Discharge Nurse assesses, plans, delivers, coordinates, integrates, and evaluates nursing...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback +… more
- Nuvance Health (Poughkeepsie, NY)
- …preferred. Must have current RN license. Preferred experience in Utilization Review /Management. Location: Vassar Brothers Medical Center Work Type: Full-Time ... ER and Observation units Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery… more
- Catholic Health Services (Roslyn, NY)
- …and monitors staff satisfaction. + Assures compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, ... to be a St. Francis Hospital & Heart Center(R) RN . You are at the heart of health. St....reporting data on utilization trends, resource utilization and denials. + Serves as a resource to… more
- Bassett Healthcare (Cooperstown, NY)
- …+ 1 year leadership experience, preferred Licensure/Certifications: + Current NYS Registered Professional Nurse license, required + Current BLS certification, ... discharge planning and others as appropriate to assess quality of care and review outcomes data and develop performance improvement plan when applicable. + Conducts… more
- Healthfirst (NY)
- …Provide strategic oversight and operational management for all utilization management functions, including prior authorization, concurrent review ... NYS RN Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care operations Leadership experience in managing, coaching… more
- Elderwood (Waverly, NY)
- …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The candidate is the… 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 certification preferred.… more
- Parexel (Albany, NY)
- …reproducible research practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable health professional credentials, ... solutions, and ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or anomalies to ensure… more
- St John's Community Services (Ithaca, NY)
- …11-bed residential facility. Activities include clinical supervision, plan development, review of client records/notes, program planning and group facilitation. Your ... + Ensures the development and maintenance of treatment plans. + Performs review and supervisory maintenance of official records including treatment plans, progress… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more