- STG International (Watertown, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- Evolent (Albany, NY)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current,… more
- STG International (Kingston, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- STG International (Dunkirk, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health… more
- STG International (Auburn, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. * ... safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- WellLife Network (South Richmond Hill, NY)
- …during inspections. 13. Ensure all work is reviewed and cosigned by an agency Registered Nurse (to be scheduled by clinical supervisor) 14. Administer TB tests. ... Licensed Practical Nurse Relief -DDA106 - On-Call Job Details Job...schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as… more
- Mohawk Valley Health System (Utica, NY)
- …visits. + Gathers data and reports significant change in patient's condition to Registered Nurse or Supervisor as appropriate promptly. + Instructs patients and ... of supportive and restorative care as directed by the Registered Professional Nurse . Core Job Responsibilities +...in appropriate agency meetings and the quality improvement and utilization review activities of the organization. +… more
- Elderwood (Waverly, NY)
- …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities. The candidate is the… more
- Nuvance Health (Carmel, NY)
- …RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... affiliates, Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management certification preferred.… more
- Kaleida Health (Williamsville, NY)
- …2 years of experience In any combination of: case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set ... Bachelors in Nursing required. Bachelors or Masters in Social Work preferred. RN Licensure required. **Experience** **2 years of experience in Acute care Nursing… more