- FlexStaff (New York, NY)
- …of experience in care/case management, disease management, population health management, utilization review , quality assurance, or discharge planning (preferably ... systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally authorized (for example,… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... duties as assigned. **Qualifications** **Required Qualifications:** + NY State RN License. + BSN required. + Minimum five years...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS: BLS preferred. PHYSICAL… 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
- Kaleida Health (Williamsville, NY)
- …Basic Life Support (BLS) required upon hire. Current NYS registration as a Registered Professional Nurse / RN Permit and American Heart Association-Basic Life ... 2 years of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set… 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
- Rochester Regional Health (Rochester, NY)
- …complete documentation per agency standard and program standard. Participates in utilization review and/or continuous quality improvement activities as ... LOCATION: Monroe County STATUS: Full Time Days SUMMARY The RN - Geriatric Case Manager, Home Care is responsible...the solutions of more complex issues/activities. Required Qualifications: * Registered Nurse license in New York State.… more
- Lincoln Financial (Albany, NY)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like… more
- WMCHealth (Valhalla, NY)
- …experience in a hospital setting, preferably cardiology, radiology, surgery or utilization review , required. Previous revenue integrity experience, Excel and ... pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered. + Analyze and maintain WMCHealth… more
- Evolent (Albany, NY)
- …+ Performs other duties as assigned. **Qualifications: Required and Preferred:** + Licensed registered nurse or LVN/LPN (current and unrestricted) + Minimum of ... direct clinical patient care + **Minimum one year of experience with Utilization Review (UM) in a managed care environment** + **Cardiology and Oncology… more