- Mount Sinai Health System (Long Island City, NY)
- …field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions ... Description** The Director will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to facilitate… more
- Arnot Health (Elmira, NY)
- … Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have proficient ... $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… more
- Kaleida Health (Williamsville, NY)
- …Basic Life Support (BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and American Heart Association-Basic Life ... LGNTQIA+ individuals in an outpatient clinic. (Youth Link Only) Preferred.** **_**For Registered Nurse clinical positions, internal applicants must have been… more
- Molina Healthcare (Rochester, NY)
- **Job Summary** **_For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** ... Nursing experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + ** Registered Nurse with Claims and CIC coding experience (STRONGLY… more
- Ellis Medicine (Schenectady, NY)
- …EDUCATION AND EXPERIENCE REQUIREMENTS: + Currently licensed in New York State as a Registered Nurse and a graduate of an approved school of nursing. + ... + The Administrative Clinical Supervisor will work collaboratively with the DON and Nurse Managers to assure effective and efficient utilization of staff and… more
- 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 -...health related field Licensure/Certification Requirements REQUIRED: + Licensed NYS Registered Nurse . + CPHQ certification. Disclaimer Qualified… more
- Nuvance Health (Poughkeepsie, NY)
- …license or certification in the respective field of qualifying credential (eg, Registered Nurse , LPN, Respiratory Therapist, EMT or Paramedic) * Maintenance ... operator assists in the provision of safe and therapeutic management of patient care to an assigned group of...patient care within the scope of practice as a Nurse ( RN or LPN), Respiratory Therapist, EMT,… more
- WMCHealth (West Nyack, NY)
- …care management standards and community resources highly preferred. Education: Registered Nurse , Bachelor's degree preferred Licenses / Certifications : ... Charity Medical Group City/State: West Nyack, NY Category: Nursing/Nursing Management Department: Admin - Orange County Union: NO Position:...Current license as a Registered Nurse is required. About Us: Bon… more
- Molina Healthcare (Buffalo, NY)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years in one or more of the following areas: utilization management , case management , care… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + Leads ... rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff working with the children's population.… more