- Molina Healthcare (Albany, NY)
- …State Plan. **JOB QUALIFICATIONS** **Required Education** Any of the following: Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a ... experience. **Required License, Certification, Association** Active, unrestricted Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license… more
- CenterWell (Hauppauge, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts ... identifies and evaluates alternative courses of action through the utilization of Performance Improvement principles. + Responsible for review...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Guthrie (Binghamton, NY)
- …a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree ... two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's degree in a related… more
- Mohawk Valley Health System (Utica, NY)
- …responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member services. Duties include the supervision ... Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member care needs… more
- City of New York (New York, NY)
- …of experience as a nursing supervisor/manager; experience with charts or utilization reviews, working knowledge of applicable computer-based software (Microsoft 365 ... are highly preferred. A valid New York State Registered Nurse License is required. Bachelor's Degree of Science in...and current registration to practice as a Registered Professional Nurse . This license must be maintained for the duration… more
- Mount Sinai Health System (Brooklyn, NY)
- **Job Description** The Nurse Manager I is responsible for the management of nursing practice and operations on a designated unit/service. This includes, but is not ... medical records, internal and external regulatory and survey requirements. The Nurse Manager I collaborates with multiple professionals to support and coordinate… more
- Elderwood (Hamburg, NY)
- Salary Up to $49.50 / Hour Overview Elderwood at Hamburg is seeking a Registered Nurse (RN) to join our clinical team as a MDS Nurse . Position Overview: + An MDS ... (Minimum Data Set) nurse , or nurse assessment coordinator, collects and...State requirements, and facility policies. + Actively participate in utilization management processes, including PDPM and state case mix… more
- Nuvance Health (Poughkeepsie, NY)
- …management of patient care to an assigned group of patients through the utilization Standards of Practice and policies and procedures and in collaboration with other ... patient care within the scope of practice as a Nurse (RN or LPN), Respiratory Therapist, EMT, Paramedic. *...in quality assurance programs as requested by the Clinical Nurse Manager or Program Medical Director. * Participates in… more
- Molina Healthcare (Syracuse, NY)
- …role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate with ... **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse (RN), Licensed Vocational Nurse (LVN), or Licensed Practical… more
- Trinity Health (Syracuse, NY)
- …The Throughput Manager of Patient Logistics Department is registered professional nurse that is accountable for applying positive strategies to promote operational ... for cost effective, efficient care delivery. + Understanding and utilization of data that will be incorporated to improve...to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing… more