- Mohawk Valley Health System (Utica, NY)
- …+ 8 years of clinical experience. Previous or current experience working in Quality Management / Utilization Management field. + 5 years of management ... Sr Director Quality Management & Regulatory Affairs - Full Time -...health related field Licensure/Certification Requirements REQUIRED: + Licensed NYS Registered Nurse . + CPHQ certification. Disclaimer Qualified… more
- Catholic Health Services (West Islip, NY)
- …(BSN) degree required. Master of Science degree strongly preferred. Licensure: New York Registered Nurse ( RN ) License & Registration. Certification: Care ... compliance with Hospital Conditions of Participation. Implements care management programs, including utilization review, intake and discharge planning.… more
- Elderwood (Hamburg, NY)
- Salary Up to $49.50 / Hour Overview Elderwood at Hamburg is seeking a Registered Nurse ( RN ) to join our clinical team as a MDS Nurse . Position Overview: ... + An MDS (Minimum Data Set) nurse , or nurse assessment coordinator, collects and...State requirements, and facility policies. + Actively participate in utilization management processes, including PDPM and state… more
- Rochester Regional Health (Rochester, NY)
- …other team members as needed.* Perform other duties as assigned. REQUIRED QUALIFICATIONS: + Registered Nurse license in New York State + Associate of Science in ... for a variety of nursing functions in support of management and staff. Serves as a resource for clinical...QUALIFICATIONS: + 1 - 3 years' experience as a Registered Nurse + Certification in area of… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + Leads ... management rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff working with the children's… more
- WMCHealth (West Nyack, NY)
- …care management standards and community resources highly preferred. Education: Registered Nurse , Bachelor's degree preferred Licenses / Certifications : ... Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange County Union: NO Position:...Current license as a Registered Nurse is required. About Us: Bon… more
- CenterLight Health System (Ridgewood, NY)
- …unrestricted license and registration in New York State required as a Registered Nurse . Language: Bilingual preferred. Physical Requirements Individuals must be ... care. Serve the organization as a member of the management team, working alongside all departments and employees to...Delivery reports. + Participates and represents the Community Health Nurse (CHN) in IDT meetings, when required. + Balance… more
- Molina Healthcare (Buffalo, NY)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years in one or more of the following areas: utilization management , case management , care… more
- Rochester Regional Health (Rochester, NY)
- …evaluations for team members; attend all required educational programs. REQUIRED QUALIFICATIONS: + Registered Nurse license in New York State. + BLS through ... for a variety of nursing functions in support of management and staff. Serves as a resource for clinical...QUALIFICATIONS: + 1 - 3 years' experience as a Registered Nurse + Certification in area of… more
- Rochester Regional Health (Rochester, NY)
- …of Science in Nursing (BSN) preferred. * 1 - 3 years' experience as a Registered Nurse is highly preferred. * Demonstrated leadership qualities and behaviors. * ... for a variety of nursing functions in support of management and staff. Serves as a resource for clinical...(BSN) preferred. - For Dialysis: BSN preferred Required Licensure/Certification Skills:* Registered Nurse license in New York State.… more