- Nuvance Health (Poughkeepsie, NY)
- …preferred. Must have current RN license. Preferred experience in Utilization Review/ Management .Company: Vassar Brothers Medical Center Org Unit: 1190 ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Sedgwick (Albany, NY)
- …Six (6) years of related line of business experience in telephonic case management (TCM) and/or utilization review or equivalent combination of education and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and quality… more
- Elevance Health (Latham, NY)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Latham, NY)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... ** Nurse Case Manager II** **Location:** This role enables... Case Manager II** will be responsible for care management within the scope of licensure for members with… more
- Nuvance Health (Carmel, NY)
- …affiliates, Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management ... RN experience in an acute care setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred.… more
- United Therapeutics (Albany, NY)
- …experience, including ICU and critical care of PAH, cardiology or pulmonology patients + Registered Nurse ( RN ) - State Licensure and/or Compact State ... make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field...Licensure RN - Registered Nurse - State Licensure and/or Compact… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and...Certification/Licensure + Licensed in New York State as a Registered Nurse Required Years of Experience +… more
- Mount Sinai Health System (New York, NY)
- …patient emergencies and supporting patient-centered care. **Qualifications** Must be a Licensed Registered Nurse , Physician Assistant or Nurse Practitioner ... emergency department experience preferred 3. Two (2) years of management or supervisory experience preferred 4. One (1) year...of Patient Flow experience preferred 5. EPIC experience preferred. Registered Nurse Licensed NYS Registered … more
- Arnot Health (Elmira, NY)
- …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three ... patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload will… more
- Stony Brook University (Stony Brook, NY)
- …including managing Case Management leadership and staff functions related to case management and utilization management activities. + Manage and mentor a ... design, development, implementation, and monitoring of the organization's case management and utilization review functions. + Lead...degree. * Possession of license to practice as a registered nurse in New York State *… more