- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... documents, and maintains all member's clinical information in health management systems to ensure compliance with regulatory... utilization management processes preferred.… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …communication on medical issues with VP of Nursing, Nurse Administrator, Registered Nurse ( RN ), and Medical Coordinators2. Maintains medical records, ... and Nurse Administrators, works collaboratively and assists in the management of medical care for all individuals served and maintaining appropriate… more
- Molina Healthcare (Rochester, NY)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management , care management , care… more
- Albany Medical Center (Albany, NY)
- …or related field. Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, ... compliance with all regulatory standards. Planning and Program Management : Provides administrative direction and coordination in the formulation, interpretation… more
- STG International (Kingston, NY)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... compliance and patient safety. + Participates in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- STG International (Auburn, NY)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. * ... compliance and patient safety. * Participates in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- Guthrie (Binghamton, NY)
- …role related to professional specialty. Education, License & Cert: Licensed as a Registered Nurse in the State of Pennsylvania/New York. Certification within ... hire. Experience: Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: RESOURCE UTILIZATION : + Considers… more
- Guthrie (Corning, NY)
- …school of Nursing. Bachelor's degree in nursing is required. Licensed as a Registered Nurse in state of practice Certification within area of expertise ... dependentExperience: Two years of recent clinical leadership experience or charge nurse experience desired. Essential Functions: 1. RESOURCE UTILIZATION :… more
- Weill Cornell Medical College (New York, NY)
- …(NP) license and current NP registration + NYS Registered Professional Nurse license and signed current RN registration. + Applicable National Board ... Title: Chief Nurse Practitioner - Urology Location: Upper East Side... Practitioner will oversee the clinical, educational, and administrative management of the Advanced Practice Provider (APP) staff. Has… more
- MVP Health Care (Rochester, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes… more