- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS: BLS preferred. PHYSICAL… more
- CDPHP (Albany, NY)
- …researching new and emerging technologies and interfacing with the medical directors, utilization review staff, and other key policy stakeholders Qualifications: ... will collaborate with the CDPHP team in the development, review and revision of CDPHP Resource Coordination policies, including...or four (4) years of equivalent experience required. + Registered Nurse or Nurse Practitioner… more
- Mount Sinai Health System (Long Island City, NY)
- …Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate ... field. **Licensing and Certification Requirements (if applicable)** Licensed as a registered nurse , Issuing Agency: Department of Health/Office of Professions… more
- The Institute for Family Health (Bronx, NY)
- …Must have at least one of the listed licensures/certifications: Current NY State Registered Nurse ( RN ) or Certified Dietitian/Nutritionist (CDN) or Current ... and home needs). Adjust intensity of service based on needs, and appropriate utilization of resources. + Develop patient centered plan of care based on… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management...the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration… more
- Mount Sinai Health System (New York, NY)
- …Practitioner in New York State + Current license and registration as a Professional Registered Nurse in NY State + National Board Certification in Advanced ... approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion...and orientation as well as ongoing professional development of nurse practitioners. + Coordinates clinical activities of APNs to… more
- Calvary Hospital (Bronx, NY)
- …year Requirements QUALIFICATIONS: 1. Master of Nursing Degree required. 2. NYS unencumbered Registered Nurse License required. 3. Ten (10) to fifteen (15) years ... pertinent data. 8. Knowledge of and experience in Quality Assessment and Improvement, Utilization Review . 9. Ability to develop management systems to track data… more
- CenterLight Health System (Ridgewood, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... management systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be legally authorized (for… more
- FlexStaff (New York, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally authorized (for example,… more
- UHS (Johnson City, NY)
- …in Nursing and Masters in Business or HealthCare related field. + New York State Registered Nurse License or eligible + Five (5) years of clinical nursing ... and accountability through Just Culture principles. This role collaborates with nurse managers, physicians, and administrative leaders to lead strategic planning,… more