- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse IDepartment: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time)Schedule: Monday - ... class as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial… more
- Monroe County, NY (Rochester, NY)
- …The employee reports directly to, and works under the general supervision of a Nurse Manager , or other higher-level staff member. General supervision may be ... Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse (RN) - … more
- CenterWell (Albany, NY)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare +… more
- CenterWell (Albany, NY)
- …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
- Mount Sinai Health System (New York, NY)
- …as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front...Implements first step of appeals process to assist Appeals Nurse and Enter Denial information in Allscripts + Meets… more
- Elevance Health (Latham, NY)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Rochester Regional Health (Rochester, NY)
- …Week: 40Schedule: M-F Days, with flexibility to work night/off shift SUMMARY:The Assistant Nurse Manager (ANM) is responsible for the clinical care to patients ... Investigate and resolve patient or family concerns in collaboration with the Nurse Manager /Director; promote optimal care through internal and external… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Assistant Nurse Manager provides management assistance on an assigned shift and is accountable ... as a resource and mentor. The ANM assists the Nurse Manager with elements of planning, organizing,... or group leader. Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing… more
- Rochester Regional Health (Rochester, NY)
- …Week: 40 hoursSchedule: M-F- 7-330pm, 8-430pm, or rotating with evening hoursSUMMARY:The Assistant Nurse Manager is responsible for the clinical care to patients ... of day-to-day responsibilities of nursing team members. The Assistant Nurse Manager is the main contact for...within practice areao Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Assistant Nurse Manager Department: SSDU Location: RGH Hours Per Week: 40 hours per week/Full Time Schedule: M-F Days, primarily Position Summary:The ... Assistant Nurse Manager (ANM) is responsible for the...to improve clinical practice.*Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department… more