- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... + 2 + years of experience as a Registered Nurse in adult acute care, critical care, Emergency or...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- Albany Medical Center (Albany, NY)
- …clinical experience in an assigned service.* Recent experience in case management , utilization management and/or discharge planning/ home care in a high ... Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... as indicated + Supervises and evaluates care provided by Licensed Practical Nurses and/or home health aides in the performance of his/her patient care duties + Works… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IDepartment: Home Care Location: Monroe County Hours Per Week: 40Schedule: Days Sign-On Bonus: $20,000 SUMMARY: The RN ... Manages larger and more complex caseloads with effective service utilization and independent decision-making. + Acts as a mentor...level I, plus: A minimum of 2 years of home care experience. + Registered Nurse license… more
- Albany Medical Center (Albany, NY)
- …in an assigned service - required + Recent experience in case management , utilization management and/or discharge planning/ home care in a high volume, ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
- Molina Healthcare (Syracuse, NY)
- …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes...be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and… more
- Molina Healthcare (New York, NY)
- …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more
- Nuvance Health (Poughkeepsie, NY)
- …case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within ... - Discharge Planning primarily Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the… more
- UHS (Norwich, NY)
- …Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services + ... Position OverviewThe Registered Nurse (RN) or Graduate Nurse (GN)...Educates patients and families in health promotion and disease management using available resources + Utilizes a working knowledge… more
- UHS (Norwich, NY)
- …Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services + ... Hospital is seeking a compassionate and skilled Staff Registered Nurse (RN) or Graduate Nurse (GN) dedicated...Educates patients and families in health promotion and disease management using available resources + Utilizes a working knowledge… more