- Stony Brook University (Stony Brook, NY)
- …design, development, implementation, and monitoring of the organization's case management and utilization review functions. + Lead initiatives to improve patient ... degree. * Possession of license to practice as a registered nurse in New York State *...and collaboration with Social Work Services * Knowledge of Utilization Review and Denial/Appeals * Knowledge of… more
- STG International (Watertown, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- STG International (Kingston, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- STG International (Dunkirk, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health… more
- STG International (Auburn, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. * ... safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse ( RN ) reviewers and manages the denial process. + ... management rounds. + Provision of clinical oversight and leadership to Utilization Management/Case Management (UM/CM) staff working with the children's population. +… more
- CenterLight Health System (NY)
- …active and unrestricted license and registration in New York State as a Registered Nurse required. Additional Requirements: + Be legally authorized (for example, ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care… more
- CenterLight Health System (Ridgewood, NY)
- …unrestricted license and registration in New York State required as a Registered Nurse . Language: Bilingual preferred. Physical Requirements Individuals must be ... religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care… more
- WMCHealth (West Nyack, NY)
- …national care management standards and community resources highly preferred. Education: Registered Nurse , Bachelor's degree preferred Licenses / Certifications : ... performed by the Care Manager through extensive medical record review , face to face and/or telephonic encounters with assigned...Current license as a Registered Nurse is required. About Us: Bon… more
- Arnot Health (Elmira, NY)
- …an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three years ... the management of patient care. The Case Manager will review all patients for utilization management and...Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's… more