- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday ... Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
- Molina Healthcare (Syracuse, NY)
- …and monitoring clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management … more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse ( RN ) -...an 18-bed unit specializing in cardiac care and stroke management . With a 1:4 nurse -to-patient ratio, we ... Full Time (36 hours)Schedule: Evening/Night (6pm-6am), rotating weekends and holidays SUMMARY:As a Registered Nurse ( RN ), you're the engine and the heart… more
- Rochester Regional Health (Rochester, NY)
- …Schedule: Straight Shift- Nights. Every other weekend/holidays. Sign-On Bonus: $15,000 SUMMARY: As a Registered Nurse ( RN ), you're the engine and the heart ... on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Evolent (Albany, NY)
- …and as an RN - **Required** + Minimum of 5 years in Utilization Management , health care Appeals, compliance and/or grievances/complaints in a quality ... appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- Catholic Health Services (Port Jefferson, NY)
- … 3+ Years acute care clinical RN experience required Prior RN experience in Utilization Management , Performance Improvement, Transition Planning ... across the acute care continuum. Perform required activities for utilization management , PRI assessment and completion, transition...in a BSN program may apply Licensure: New York Registered Nurse ( RN ) License &… more
- Oneonta Job Corps (Oneonta, NY)
- …Microsoft Suite (Word, Excel, Outlook, PowerPoint.) Educational Requirements: + State Licensed Registered Nurse . + Three years' experience as a practicing ... in nurses' on-call rotation. + Function as a staff nurse as needed. + Collect data and maintain wellness...as needed. + Collect data and maintain wellness monthly Utilization Reports. + Plan, organize, and control the use… more
- Northwell Health (Riverhead, NY)
- …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... another level of care according to regulatory standards. + * Performs concurrent utilization management + Conducts chart review for appropriateness of admission… more
- Fresenius Medical Center (Jamaica, NY)
- …appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. + Provides opportunities ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
- Fresenius Medical Center (Schenectady, NY)
- …+ Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives. + Responsible for ... staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and… more
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