- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' Compensation ... for timely return to work. + Provides case management, utilization review , continued stay reviews, and based...MagnaCare policies and procedures. Essential Qualifications + Currently licensed Registered Nurse in the state of NY,… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- FlexStaff (Bronx, NY)
- …(MLTC, LTHHCP, MAP, PACE, etc.). + 5+ years in case management, disease management, utilization review , or quality assurance. + Experience working with frail or ... **Req Number** 157287 Clinical Assessment RN Manager - Bronx FlexStaff is seeking a...using UAS-NY for prospective and enrolled PACE participants. + Review and update previous assessments, primary diagnoses, and medications… more
- WMCHealth (Valhalla, NY)
- …Registered Health Information Technician/Administrator . RN : Current/active license as a registered nurse in the state of residence or current /active ... RN license with the ability to transfer license to...principles and guidelines; good knowledge of healthcare delivery system, utilization review , case review and… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- Nuvance Health (Poughkeepsie, NY)
- …preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190 ... affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the… 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
- Mohawk Valley Health System (Utica, NY)
- …compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience. ... RN Case Manager - Case Management - per...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- Albany Medical Center (Albany, NY)
- …field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning. * BLS Certification. * Demonstrated ... clinical competency in a nursing or allied health specialty. Previous experience in education program development and teaching preferred. * Ability to create collegial and collaborative relationships internally and externally. * Ability to read and analyze… more
- CenterLight Health System (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