- Rochester Regional Health (Rochester, NY)
- …case coordination/patient navigation for patients, including triage management , algorithm management , utilization management and resource management . ... Job Title: Nurse Navigator - Women's HealthDepartment: Women's Health Location:...with continually improving the quality and effectiveness of case management /patient navigation. RESPONSIBILITIES: + Reviews the medical record with… more
- Molina Healthcare (Albany, NY)
- …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) ... modification of payment decisions. + Serves as a clinical resource for utilization management , CMOs, physicians and member/provider inquiries/appeals. + Provides… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Nurse Manager (NM) actualizes the vision, mission and values for Ellis Medicine and maintains standards of the practice for nursing as defined by ... Standards of Practice and Nursing's social Policy Statement. The Nurse Manager participates in performance improvement/research activities; maintains professional… more
- Mount Sinai Health System (Long Island City, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- Centene Corporation (New York, NY)
- …findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN -… more
- Outreach Development Corporation (Brentwood, NY)
- …services and training. For more information, please visit www.opiny.org. Position: Residential Nurse (RN) The RN assesses health related needs of; monitors ongoing ... for adolescents being assessed for, participating in or completing treatment at Outreach House. The nurse provides on call nursing for times when we do not have a … more
- Rochester Regional Health (Rochester, NY)
- Job Title: Assistant Nurse ManagerDepartment: Sands Constellation Center for Critical Care Location: Rochester General Hospital Hours Per Week: 40Schedule: Days. M, ... T, W, TH, F 7am-3pm. SUMMARY:The Assistant Nurse Manager (ANM) is responsible for the clinical care...for a variety of nursing functions in support of management and staff. Serves as a resource for clinical… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …education, orientation, competencies, and providing quality improvement and outcomes utilization . Delivers and manages the care of patients undergoing therapeutic ... care course BSN VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance… more
- Bassett Healthcare (Cobleskill, NY)
- …Schoharie County and the surrounding region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable for the ... needs. The RN contributes to the support of patients through interdisciplinary teamwork. + Registered Nurse I: The RN I status is only appropriate for a new nurse… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …education, orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and ... EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to… more