- Bassett Healthcare (Oneonta, NY)
- …unit specific resident care programs Responsible for effective and efficient fiscal management of department operations to ensure proper utilization of ... that unit in the areas of resident care, human resource, and financial management . Assists the DON in development, implementation, and evaluation of on-going service… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …days a week 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a highly motivated, flexible, organized, skilled ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… more
- Evolent (Albany, NY)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- Northwell Health (Sleepy Hollow, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + ... Submits data to management regarding case management and/or quality initiatives....entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
- CDPHP (Albany, NY)
- …Minimum two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
- Centene Corporation (New York, NY)
- …and determination of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for… more
- Elderwood (Lake Placid, NY)
- …with experience!) NEW:Gas Allowance Benefit for Full-time and Part-time positions Are you a Registered Nurse ( RN ) with Medicare experience? Do you consider ... Salary $74,100 to $96,525 / year Overview RN - MDS Nurse Assessor Pay...Federal, State, and facility policies + Actively participate in utilization management processes, including PDPM and state… more
- UHS (Norwich, NY)
- …Health Services (UHS) Chenango Memorial Hospital is seeking a compassionate and skilled Staff Registered Nurse ( RN ) or Graduate Nurse (GN) dedicated ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… more
- Molina Healthcare (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
- Mount Sinai Health System (New York, NY)
- …field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions ... **Job Description** The Nurse Manager is responsible for the management...facilitates the delivery of nursing care through the creative utilization of professional nursing expertise 5. Recognizes patient's problems… more