- Fresenius Medical Center (Great Neck, NY)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …members of the interdisciplinary team. Responsibilities The Nurse Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Highmark Health (Albany, NY)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Arnot Health (Elmira, NY)
- Job Description Up to a $25,000 Sign on Bonus for qualified Registered Nurses *Terms of payment may vary based on experience* Are you ready to join an organization ... and advancement opportunities. We welcome your application. MAIN FUNCTION: The RN is a professional caregiver who assumes responsibility and accountability for… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …certification in Mental Health or Psychiatry Nursing 2-3 years as a mental health outpatient registered nurse in an acute care medical center and/or 2-3 years in ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- WMCHealth (Valhalla, NY)
- …two (2) years of Utilization Management or Appeal Management related experience Training/License: Current NYS RN license. Thorough knowledge of ... nursing theory, nursing practice and practice standards for Utilization Management as related to Medicare, Medicaid and HMO's. Working knowledge clinical… more
- Molina Healthcare (Buffalo, NY)
- … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with… more
- Catholic Health Services (Roslyn, NY)
- …compliance with regulatory and external review agencies. + Participates in the Utilization Management Committee, reporting data on utilization trends, ... Overview Director-Care Management Are you exceedingly driven, dedicated, and passionate...to be a St. Francis Hospital & Heart Center(R) RN . You are at the heart of health. St.… more
- Bassett Healthcare (Oneonta, NY)
- …specific resident care programs + Responsible for effective and efficient fiscal management of department operations to ensure proper utilization of ... that unit in the areas of resident care, human resource, and financial management . + Assists the DON in development, implementation, and evaluation of on-going… more
- Nuvance Health (Poughkeepsie, NY)
- …Must have Associate's Degree in Nursing, BSN preferred. Must have current RN license. *Preferred Experience: * Utilization Review/ Management .Company: Vassar ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
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