- Humana (Albany, NY)
- …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... payors for additional clinical documentation. + Acts as liaison between the Utilization and Appeals Management Department and the physician of record, as required.… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of clinical… more
- Molina Healthcare (Buffalo, NY)
- … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in ... board licensing mandate. + At least 2 years in case, disease or utilization management; managed care; or medical/behavioral health settings. + One year of training… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Registered Nurse ( RN ) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse ( RN ) ... to, and works under the general supervision of a Nurse Manager , or other higher-level staff member....Qualifications Possession of a New York State License as a Registered Nurse . Download/View Full Announcement Apply… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care Manager - Women's Health/Pediatrics (Req 100987) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) ... Using principles of Patient Centered Medical Home (PCMH), the Care Manager ( RN ) will demonstrate professional nursing practice, excellent communication… more
- Catholic Health Services (Port Jefferson, NY)
- … position who are enrolled in a BSN program may apply + Licensure: New York Registered Nurse ( RN ) License & Registration + Certification: Basic Life Support ... delivery of high quality care. Job Details Our Care Manager ( RN ) will: + Assess, plan, implement,...care clinical RN experience required + Prior RN experience in Utilization Management, Performance Improvement,… more
- Glens Falls Hospital (Glens Falls, NY)
- …week, can be found*here*. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options for ... *The Impact You Can Make* *Team Impact* The Care Manager will be assigned to manage their own patient...work closely with the Interdisciplinary Team to ensure appropriate utilization and provision of resources for patients including referrals… more
- Northwell Health (Staten Island, NY)
- **Req Number** 167724 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
- Fresenius Medical Center (New York, NY)
- …closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager , the Medical Director, and ... of the appropriate company CQI tools. + Works with the Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement FMS quality goals… more
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