- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for ... assigned patients. * Completes Utilization Management and Quality Screening for assigned patients.* Applies MCG...with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State… more
- CDPHP (Albany, NY)
- …Minimum two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
- Catholic Health Services (Melville, NY)
- …queries from payors for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of record, ... accredited Nursing School or College; current New York State, RN License required, BSN Bachelor of Science in Nursing...current with industry standards and business objectives related to Utilization and Care Management as appropriate. Sound… more
- Crouse Hospital (Syracuse, NY)
- …management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... Manager who is responsible for providing day to day management of the RN Care Managers in...agreements. Manager, Care Coordination Requirements: + Licensed as a Registered Nurse in New York State +… more
- Northwell Health (Bay Shore, NY)
- …Performs retrospective reviews as required. + * Participates in the maintenance of Utilization Management , Discharge Planning and Case Management statistics ... of all changes in policies and procedures relating to Utilization Management , Discharge Planning and Case ...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Crouse Hospital (Syracuse, NY)
- …establish the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing ... maintaining the quality of care. + Participates in the utilization management process using standards of care...YMCA Subsidy program. + Clinical Nursing Pathway Program for Registered Nurses designed to foster career growth and progression.… more
- Arnot Health (Elmira, NY)
- …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three ... patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload will… more
- Trinity Health (Syracuse, NY)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in New York. + **Certification** : BLS/CPR. ... Part time **Shift:** Day Shift **Description:** At **St. Joseph's Health** the ** Registered Nurse Inpatient Clinical Care Manager** assumes the responsibility… more
- Catholic Health Services (Smithtown, NY)
- …Nursing (BSN) degree required Master of Science degree strongly preferred Licensure: New York Registered Nurse ( RN ) License & Registration Salary Range USD ... supervisors will report to them. The Director of Care Management and Nurse Operations will: Work collaboratively... management leadership role is required Experience in utilization management , working with managed care organizations,… more
- Northwell Health (Huntington, NY)
- **Req Number** 152919 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria +… more