- 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
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …a week 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory ... meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. +… 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
- Catholic Health (Buffalo, NY)
- …or RN with BSW, BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New York State PRI & Screen certification ... Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New...care RN experience required + Preferred prior insurance /managed care/ utilization review experience in the role of a Case… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + Submits… more
- Highland Hospital (Rochester, NY)
- … nurse driven outcomes. Provides leadership in the translation, analysis, and utilization of patient satisfaction data, nurse satisfaction data, and nurse ... plans for improved patient satisfaction, improved nursing satisfaction, and improved nurse sensitive quality outcomes indicative of a Magnet and service excellence… 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
- MVP Health Care (Rochester, NY)
- …**Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required with at least 4 years of recent clinical and Care Management ... to confidentiality. + Ability to make independent decisions regarding resource utilization , and quality of care. + Must demonstrate understanding of clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... difficult members and highly visible issues. + Understanding of the basic Utilization Management and Case Management aspects of the department + Excellent written… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse (RN) Care Manager - Women's Health/Pediatrics Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a ... management by focusing care coordination attention on the at-risk population driving utilization and costs to improve efficiency, quality and patient satisfaction. +… more