- Guthrie (Corning, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... within two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's degree in… more
- Guthrie (Johnson City, NY)
- …data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse with 5 years' experience, preferably in an ... applicant must have a current license as a Professional Registered Nurse in their state of practice...in nursing practice. Preferred experience with PCMH process, care management / utilization review, and payer knowledge. Fast paced… more
- Elevance Health (New York, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...**Preferred Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral… more
- Rochester Regional Health (Rochester, NY)
- …LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... per week Schedule: M-F Days 8am-430pm SUMMARY: As a Registered Nurse - Care Manager, your excellent...* 3 years of acute hospital care, Nursing, Case Management , or Utilization Management experience… more
- Catholic Health Services (Smithtown, NY)
- …for patients across the acute care continuum. Performs required activities for utilization management , PRI assessment and completion, transition planning, and ... relevant clinical medical/surgical or specialty experience required. 2-3 years' Utilization Management , Performance Improvement, Transition Planning and/or Care… more
- UPMC (Jamestown, NY)
- …Counselor (LPC), Licensed Social Worker (LSW), Licensed Mental/Behavioral Health Professional, or Registered Nurse ( RN ) + CPR certification required based ... services field with a master's degree, or a licensed Registered Nurse . + Minimum of 3 years...3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or… more
- FlexStaff (Bronx, NY)
- …Managed Care Programs (MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management , disease management , utilization review, or quality assurance. + ... **Req Number** 157287 Clinical Assessment RN Manager - Bronx FlexStaff is seeking a... license in New York State. + Strong clinical management and customer service skills. + Bilingual skills are… more
- Elderwood (Buffalo, NY)
- …Responsibilities In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are ... may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities… more
- Centene Corporation (New York, NY)
- …experience. Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. RN or LPN Preferred ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...- Licensed Vocational Nurse required or + RN - Registered Nurse -… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN /Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management for an ... or a minimum of 3-5 years? experience as a RN in an acute care setting. **Licensing and Certification...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management … more