- Rochester Regional Health (Rochester, NY)
- …skills in areas such as cardiac care with telemetry monitoring, diabetes management , renal disease and dialysis, pulmonary conditions, and the management ... and updates documentation appropriately. . Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a… more
- Rochester Regional Health (Marion, NY)
- …Telemetry Unit, an 18-bed unit specializing in cardiac care and stroke management . With a 1:4 nurse-to-patient ratio, we provide personalized, high-quality care to ... and updates documentation appropriately. Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a… more
- Rochester Regional Health (Rochester, NY)
- …trauma. RNs on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit also operates as ... and updates documentation appropriately. Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Centene Corporation (New York, NY)
- …**Must have an active New York State RN license.** **Inpatient Utilization Management ** **Position Purpose:** Supervises Prior Authorization, Concurrent Review, ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- CVS Health (Albany, NY)
- …experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST/CST zones… more
- Trinity Health (Troy, NY)
- …these differences often lead to innovative solutions. **Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme TRACK ... to accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for inpatient and outpatient services in… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
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