- Mount Sinai Health System (New York, NY)
- …the Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators ... **Licensing and Certification Requirements (if applicable)** + Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions… more
- Molina Healthcare (NY)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At… more
- Molina Healthcare (Rochester, NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Catholic Health Services (West Islip, NY)
- …degree required. + Master of Science degree strongly preferred. + Licensure: New York Registered Nurse ( RN ) License & Registration. + Certification: Care ... hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning… more
- Northwell Health (Forest Hills, NY)
- …, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge planning, ... 2. are appropriately arranged for and financially approved.Performs concurrent utilization management .Reviews appropriateness of patient's admission, need for… more
- Mount Sinai Health System (New York, NY)
- …excellent communication and interpersonal skills. + Current license and registration as a Nurse Practitioner OR Professional Registered Nurse in NY State ... - Bone Marrow Transplant (BMT) Cellular Therapy Program Manager ( RN /NP) - Outpatient Oncology - Mount Sinai Hospital -...program manager supervises and directs a designated group of nurse clinical coordinators within the Bone Marrow Transplant and… more
- Molina Healthcare (Bronx, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for clinical member services review...to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required… more
- Northwell Health (Staten Island, 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 using Interqual criteria. + Conducts chart review for… more
- Trinity Health (Syracuse, NY)
- …looking for an exciting career, this is your opportunity. **Position Purpose:** The Registered Nurse Coordinator is a dynamic leadership role that contributes to ... all specialties and all ages. The Emergency Department offers RN 's the opportunity for a wide variety of patient...the operational management of the unit to promote and support an… more