- 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 -...related field Licensure/Certification Requirements REQUIRED: + Licensed NYS Registered Nurse . + CPHQ certification. Disclaimer Qualified applicants will receive… more
- Bassett Healthcare (Cooperstown, NY)
- … experience, preferred Licensure/Certifications: Current NYS Licensure as a Registered Nurse , required Case management certification, preferred Skills: Analysis ... principle liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate bed is… more
- Trinity Health (Troy, NY)
- …Friday - Samaritan HospitalIf you are looking for a position in RN (Registered Nurse ) Case Management in a dynamic hospital, this could be your opportunity. ... of experience in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management certification (CCM) or… more
- Mohawk Valley Health System (Utica, NY)
- …+ 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience ... Transitional Care RN - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary The RN - Transitional Care Coordinator is responsible for… more
- Arnot Health (Elmira, NY)
- …$10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and ... other department staff 5. Relays denial information to appropriate billing clerks and management . 6. Follow up on denial claims using reports to ensure completion of… more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse , Physician Assistant, or Nurse Practitioner, who manages the 24 ... and supporting patient-centered care. **Qualifications** Must be a Licensed Registered Nurse , Physician Assistant or Nurse Practitioner Registered Nurse… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
- Mount Sinai Health System (New York, NY)
- …NYSNA-SLW NYSNA at Mount Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** 1. Principle Duties and ... are not limited to: 1. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... position responsibilities that demonstrate experience and creative approaches to the management of complex patient care. Functions within the team framework to… more
- Bassett Healthcare (Cooperstown, NY)
- …medical staff regarding patient status, bed placement, payer requirements, and utilization of resources. Manages Logistic Center staffing process for assigned shift ... required Licensure/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: Light work: exerting up to 20… more