- 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 (Cheektowaga, NY)
- …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... Care Coordinator Overview 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
- Albany Medical Center (Albany, NY)
- …Aids Program Work Shift: Day (United States of America) Salary Range: $60,028.00 - $99,023.00 Registered Nurse ( RN ) - Part Time HIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...program is required * Current NYS license as a Registered Nurse is required * Minimum of… 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
- Guthrie (Binghamton, NY)
- …autonomy in nursing practice. + Preferred experience with care management/ utilization review , and payer knowledge. + RN considered. Education: + Completion ... to a $15,000.00 Sign on Bonus! Summary: The Wellness Nurse plays a key role in health promotion and...patient populations through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under the… more
- Kaleida Health (North Tonawanda, NY)
- …experience required.** **Working Conditions** **Job Details** Department: DMP SNF Utilization Review Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: ... **Education And Credentials** **Associate degree in nursing required, bachelor's preferred. RN license required upon hire.** **Experience** **3 years of Long Term… more
- Garnet Health (Harris, NY)
- …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... with: law enforcement personnel, EMS, Medical Center security, ED RN staff, and family members. SW Clinician - is...on computer is preferred. Required Certification/Registration: Currently license and registered in NY State to practice as a social… more
- Loretto Management Corporation (Syracuse, NY)
- …Plan and can verbalize their role during an event. Qualifications + Currently licensed as Registered Nurse in New York State. + Two (2) years of experience in ... CNY is currently hiring for a Home Care Coordinator RN ! The Home Care Coordinator RN assists...manner. + Works in collaboration with the Director of Utilization Management/Information Systems for review of hospitalizations… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals ... for additional clinical documentation. Acts as liaison between the Utilization and Appeals Management Department and the physician of...care to MCC in response to physician order, or review of updated clinical information Acts as a resource… more