- 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
- Bassett Healthcare (Cooperstown, NY)
- …experience as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ ... of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing...Certification: Current NYS license as a Registered Nurse , required BLS certification will be… more
- Albany Medical Center (Albany, NY)
- …of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve… more
- Centene Corporation (New York, NY)
- …preferred. + Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... a New York RN license.** **Position Purpose:** Manages Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review team to ensure… more
- Bassett Healthcare (Cooperstown, NY)
- …requirement. Experience: New graduate or less than one year of experience as a Registered Nurse , required License/ Certification: NYS licensure as Registered ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule. ( RN … more
- Sharecare (Albany, NY)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Molina Healthcare (Buffalo, NY)
- …* UAS experience * Experience conducting home visits Required Licensure or Certification: * Registered Nurse ( RN ) State Specific Requirements: * Must reside ... for Medicaid and Medicare. We are looking for a RN candidate with a Uniform System Assessor (USA) or...and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review /Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... field) and a minimum of three years RN post-licensure nursing experience or RN Utilization Management, or Associate's Degree in Nursing and five years RN… more
- Catholic Health (Kenmore, NY)
- …residency program, residents will transition to a full-time, permanent job as a Registered Nurse in the critical care float pool Competency Assessments ... have an emphasis on the development of clinical and leadership skills for the novice/beginner nurse to be successful as a competent RN . Components of the program… more
- Crouse Hospital (Syracuse, NY)
- …establish the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare it...maintaining the quality of care. + Participates in the utilization management process using standards of care to determine… more