- MVP Health Care (Tarrytown, NY)
- …Master's prepared and licensed mental health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse ( RN ) required + New York State license required ... adolescents, with at least 2 years being ASD related + Utilization or Case Management experience in a managed care organization is preferred + Knowledgeable… 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
- Elevance Health (Latham, NY)
- …providers, claims, or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... **Telephonic NICU Nurse Case Manager I** **Location: This role enables...a timely fashion. + Knowledge of health insurance/benefits, medical management process, care management , and utilization… more
- Mohawk Valley Health System (Utica, NY)
- …compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience. ... RN - Case Manager - Full Time -...Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive… more
- UHS (Norwich, NY)
- Position OverviewThe Registered Nurse ( RN ) or Graduate Nurse (GN) protects, promotes, and optimizes health and abilities, prevention of illness and ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… more
- Elderwood (Hamburg, NY)
- Salary Up to $49.50 / Hour Overview Elderwood at Hamburg is seeking a Registered Nurse ( RN ) to join our clinical team as a MDS Nurse . Position Overview: ... + An MDS (Minimum Data Set) nurse , or nurse assessment coordinator, collects and...State requirements, and facility policies. + Actively participate in utilization management processes, including PDPM and state… 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
- 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
- CVS Health (Albany, NY)
- …+ 5-7 years of regulatory and/or clinical audit experience. + Experience in medical management , including Utilization Management (UM) and Case Management ... accreditation processes, and NCQA standards. + Licensed clinical professional ( RN preferred). + Excellent analytical, organizational, and communication skills. +… more
- Centene Corporation (New York, NY)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more