- 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
- Rochester Regional Health (Rochester, NY)
- …and was named among the top 10% in the nation for cardiology services. SUMMARY: As a Registered Nurse ( RN ), you're the engine and the heart of patient care ... Support (BLS) certification PREFERRED QUALIFICATIONS + Acute care, chart review , utilization , or nursing triage experience strongly...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… 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 ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...(NY state requirement) + Current state license as a Registered Nurse . + Proof of current CPR.… 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
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
- Glens Falls Hospital (Glens Falls, NY)
- …30 hours per week, can be found*here*. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling ... condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the Interdisciplinary Team… more
- Guthrie (Binghamton, NY)
- …or, 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 ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review , and payer knowledge. A Case… more
- Mohawk Valley Health System (Utica, NY)
- …population. Provides direct oversight of the case manager's daily operations of utilization review practice, processes and procedures ensuring accurate member ... RN Supervisor Case Management - Full Time -...Performs related duties as assigned. Education/Experience Requirements REQUIRED: + Registered Nurse licensed in State of New… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse … more
- 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