- Molina Healthcare (Rochester, NY)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... care/medical experience. R **equired License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. MULTI… more
- Crouse Hospital (Syracuse, NY)
- …requirements and contractual agreements. Manager, Care Coordination Requirements: + Licensed as a Registered Nurse in New York State + Bachelor's degree + Five ... responsible for providing day to day management of the RN Care Managers in the department, including Utilization...acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical,… more
- Catholic Health (Kenmore, NY)
- …8-4pm 9-5pm 10-6pm (Travel Required between Kenmore Mercy and Sister's Hospital Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- Summary The Western New York Healthcare System is seeking a Utilization Management (UM) Registered Nurse ( RN ) to work at its Buffalo Location. The ... Nurse Utilization Management (UM) Registered Nurse ( RN ) executes position...application of UM methods and expertise in medical necessity review criteria. This position requires strong analytical skills and… more
- Mount Sinai Health System (New York, NY)
- …**Experience Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. ... **Job Description** ** RN /Case Manager MSH Case Management FT Days** The...a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management… more
- Catholic Charities Family Community Services (Newark, NY)
- …in Nursing preferred. **Credentials:** Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required **Experience:** At ... ** Registered Nurse - OASAS** **Job Details**...as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... **Job Description** ** RN /Case Manager Mount Sinai West FT Days 8a-4p...+ Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management… more
- Independent Health (Buffalo, NY)
- …licensed behavioral health professional (such as a LCSW, LMSW, LMHC, LPC, LMFT) or a Registered Nurse ( RN ) with active, unrestricted NYS license required. + ... that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Utilization Review Clinician will primarily be responsible for managing… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 37.5 - 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a highly motivated, flexible, organized, skilled respiratory… more