- Highland Hospital (Rochester, NY)
- …Manager, the RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... experience. Ambulatory care experience in community health, care management , disease management , quality improvement and/or ...of health care technology. Familiarity with state law on nursing care, nurse practice guidelines, and clinical… more
- Trinity Health (Albany, NY)
- …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... Engage the patient and care team in the joint management of key patient outcomes such as management...valid NYS RN license + Bachelor of Science in nursing , or willingness to purse defined plan for matriculation… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... all telephone communications in accordance with department procedures using Care Management and other resources, escalates issues related to business associate… more
- Elderwood (Liverpool, NY)
- …Federal and State requirements, and facility policies. + Actively participate in utilization management processes, including PDPM and state case mix process. ... Overview Elderwood at Liverpool is seeking a Licensed Professional Nurse to join our clinical team as a LPN...Elderwood at Liverpool: + Nationally recognized for quality skilled nursing care, Elderwood at Liverpool is located in a… more
- UHS (Norwich, NY)
- …Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services + ... Hospital is seeking a compassionate and skilled Staff Registered Nurse (RN) or Graduate Nurse (GN) dedicated...Join us to make a meaningful impact where your nursing expertise supports not only individual health but also… more
- MVP Health Care (Tarrytown, NY)
- …every interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes ... bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after hire. + At least 3… more
- Highland Hospital (Rochester, NY)
- …planning to achieve timely and safe discharge and/or to coordinate access and utilization management , proactive patient management , care facilitation and ... be a licensed RN in NYS; BSN preferred. 3-5 years professional nursing experience. Progressive clinical experience including community health, care management ,… more
- Elderwood (Hamburg, NY)
- …Federal and State requirements, and facility policies. + Actively participate in utilization management processes, including PDPM and state case mix process. ... Hour Overview Elderwood at Hamburg is seeking a Registered Nurse (RN) to join our clinical team as a...health and well-being of residents in Medicare- or Medicaid-certified nursing homes. Following federally-mandated procedures and using the MDS… more
- Kaleida Health (Williamsville, NY)
- …with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working ... Current New York State registration as a Registered Professional Nurse required. Bachelor of Science degree in Nursing...2 years of experience in any combination of case management , home care and utilization review preferred.… more
- Sodus Rehab & Nursing Center (Utica, NY)
- …concurrent review package. + . Submitting concurrent review package and follow up with Utilization Management team at the Managed Care Plan for status. + . ... responsible for all functions in relations to admissions into the Healthcare Nursing Center. The admissions Coordinator is directly responsible for ensuring all… more