- Rochester Regional Health (Rochester, NY)
- …other team members as needed.* Perform other duties as assigned. REQUIRED QUALIFICATIONS: + Registered Nurse license in New York State + Associate of Science in ... for a variety of nursing functions in support of management and staff. Serves as a resource for clinical...QUALIFICATIONS: + 1 - 3 years' experience as a Registered Nurse + Certification in area of… more
- Molina Healthcare (Yonkers, NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Evolent (Albany, NY)
- …Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- Highmark Health (Buffalo, NY)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... in the Buffalo area** This job is for an RN who will be directly responsible for outcomes of...greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with… more
- Northwell Health (Staten Island, NY)
- …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for… more
- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... with care team and therapies. + Demonstrates effective time management , flexibility and priority setting. + Promotes and ensures...of the Long Term Care Department. + Ensures the utilization of the nursing process in maintaining quality of… more
- FlexStaff (Flushing, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: - Be legally authorized (for example, ... care. Serve the organization as a member of the management team, working alongside with all departments and employees...Delivery reports. - Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. JOB… more
- FlexStaff (New York, NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: Be legally authorized (for example, ... to deliver high-quality care. Serve the organization as a member of the management team, working alongside with all departments and employees to support and oversee… more
- Rochester Regional Health (Rochester, NY)
- …of Science in Nursing (BSN) preferred. * 1 - 3 years' experience as a Registered Nurse is highly preferred. * Demonstrated leadership qualities and behaviors. * ... for a variety of nursing functions in support of management and staff. Serves as a resource for clinical...(BSN) preferred. - For Dialysis: BSN preferred Required Licensure/Certification Skills:* Registered Nurse license in New York State.… more
- University of Rochester (Rochester, NY)
- …management , quality improvement and/or management preferred **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse - State Licensure and/or Compact ... considerations._ **Responsibilities:** GENERAL PURPOSE Integrates and coordinates access and utilization management , proactive patient management , care… more