- Highmark Health (Albany, NY)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Mount Sinai Health System (New York, NY)
- …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State + National Board Certification in Advanced ... as a liaison to nursing, medicine, department chairs/chiefs, care management , administration, and other department leadership. Ensures advanced practice nurses… more
- Parexel (Albany, NY)
- **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... solutions. We are seeking a dynamic and experienced Data Management Lead to join our team. If you have...practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable… more
- Teleflex (Buffalo, NY)
- …based Sales Representative, Anesthesia, is making connections with anesthesiologists, Certified Registered Nurse Anesthetist's (CRNA's), other members of the ... brands including: + LMA (TM) and Rusch (TM) airway management devices designed to help reduce the risk of...business plan. * Grow overall market share and increase utilization among existing accounts, while securing new users within… more
- Mohawk Valley Health System (Utica, NY)
- …related specialty. + Proficient with Epic EMR. Licensure/Certification Requirements REQUIRED: + Registered Nurse licensure in NYS. + Current CPR certification. ... Sr Nurse Manager 6th Floor - Full Time -...the delivery of high quality patient care based on utilization of the nursing process and standards. Provides an… more
- Mohawk Valley Health System (Utica, NY)
- …related specialty. + Proficient with Epic EMR. Licensure/Certification Requirements REQUIRED: + Registered Nurse licensure in NYS. + Current CPR certification. ... Nurse Manager - Full Time - Evenings Department:...the delivery of high quality patient care based on utilization of the nursing process and standards. Provides an… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This...the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration… more
- WMCHealth (Warwick, NY)
- …accredited School of Nursing, BSN Preferred Licensure/Certifications: Valid and current NYS Registered Nurse and MDS AANAC Certification Preferred If applicable, ... facility compliance with Nursing Care Standards as applied to Resource Utilization Groups. The MDS Nurse assume responsibility for accurate completion of… more
- Northwell Health (Mount Kisco, NY)
- …Job Description Directs, plans, implements and evaluates all activities of the inpatient RN Case Management and Social Work Services team. Develops processes to ... safe discharge back to the community. Job Responsibility 1.Leads RN case management and social work services...be in Nursing. *Current license to practice as a Registered Professional Nurse in New York State,… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, ... Overview Director-Care Management Are you exceedingly driven, dedicated, and passionate...to be a St. Francis Hospital & Heart Center(R) RN . You are at the heart of health. St.… more