- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Arnot Health (Horseheads, NY)
- Job Description MAIN FUNCTION:The Registered Nurse is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated ... the environment/instrumentation, and other health care team members. The Registered Nurse is expected to perform their duties according to established standards… more
- Albany Medical Center (Albany, NY)
- …the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide ... pharmacy renewals; facilitates call-backs to patients as necessary + Facilitates the utilization of resources to meet patient outcomes and contribute to Facility… more
- YesCare Corp (Coxsackie, NY)
- …+ Participate in quality improvement activities, including sentinel event reviews and utilization reviews. + Provide appropriate health care within the scope of ... by supervisor. **Key Qualifications** + Graduate of an accredited Nurse Practitioner program. + Current state license to practice...program. + Current state license to practice as a Nurse Practitioner. + Certification within the scope of practice… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Working under the UUMAS Director of Quality and Practice Operations, the Nurse Manager will develop and maintain operational strategies, a compliance program, ... engagement and turnover initiatives, patient experience and clinical quality. The Nurse Manager, in addition to the specific responsibilities listed below, may… more
- Rochester Regional Health (Rochester, NY)
- …a holiday every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager, your excellent interpersonal, leadership and collaboration skills ensure ... + Three (3) years of acute hospital care, case management or utilization management experience preferred + Excellent oral and written communication and interpersonal… more
- Mercy Flight Central (Rome, NY)
- FLIGHT NURSE Rome, NY (http://maps.google.com/maps?q=660+Hangar+Road+Rome+NY+USA+13441) * Air Medical Apply Description Job Summary: Utilizing ICU/ED hospital ... and modification of care plan throughout patient transfer. + Utilization of Medical control for deviations of MFC Standards...years ED or ICU experience + Certified Flight Registered Nurse (CFRN) within one year of hire + Maintain… more
- Catholic Health (Buffalo, NY)
- …Rotation Hours: Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse (RN) Care Manager-Transition of Care, as an active member of the ... Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New...and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case… more
- Evolent (Albany, NY)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.… more
- Northwell Health (Sleepy Hollow, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits ... job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. *Additional… more