- Bassett Healthcare (Cooperstown, NY)
- …timely and accurate information to payors. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... efficient delivery of care in appropriate setting. + Completes utilization management and quality screening for assigned...Registered Professional Nurse , if applying as a nurse , required + Case Management certification, preferred… more
- Ellis Medicine (Schenectady, NY)
- …is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination ... of care activities, and assist in utilization management activities under the direction of...management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files,… 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 -...working collaboratively across organizational lines to facilitate hospital and nursing operations and ensure patient needs are met. +… more
- Mohawk Valley Health System (Utica, NY)
- …+ 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience ... Transitional Care RN - Case Management - Full Time - Days Department: CASE...+ Coordinate processes designed to reduce readmissions with physicians, nursing staff, the patient and care givers. + Implement… 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
- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... patient outcomes within appropriate LOS and financial constraints.* Provides collaborative care management with the primary nurse in assessing for discharge… more
- Rochester Regional Health (Rochester, NY)
- …New York State as a Registered Nurse PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience + Bachelor's Degree EDUCATION: ... efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other… more
- CVS Health (NY)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Pediatrics, **Oncology** or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or … more
- Rochester Regional Health (Rochester, NY)
- …efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other ... in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex...hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...+ Current license or valid permit to practice professional nursing in the state of New York + Associate's… more