- Molina Healthcare (Rochester, NY)
- …Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- 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
- Stony Brook University (Stony Brook, NY)
- …telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management * Understand levels of care ... may be at a high risk for readmission. The RN following these patients must have good clinical and...is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization… more
- The New Jewish Home (Bronx, NY)
- …job functions.) Job Qualifications: + Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in Nursing. + ... informed of the latest internal and external issues and trends in utilization and quality management through select committee participation, networking,… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… 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
- Guthrie (Corning, NY)
- …New York and Pennsylvania. The applicant must have a current license as a Professional Registered Nurse in their state of practice prior to the position's start ... leadership and autonomy in nursing practice. Preferred experience with care management / utilization review, and payer knowledge. Fast paced ambulatory care… 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
- Mohawk Valley Health System (Utica, NY)
- …regulations. + Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New York, Bachelor's ... RN Supervisor Case Management - Full Time...and currently registered to practice as a Registered Nurse in New York State. Disclaimer Qualified… more
- MVP Health Care (Rochester, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes assessment, planning,… more