- CVS Health (Albany, NY)
- …full-time Utilization Management (UM) Nurse Consultant . As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... reviewing written clinical records. **Key Responsibilities of the UM Nurse Consultant ** (Includes but is not limited...practice experience as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
- CVS Health (Albany, NY)
- …with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical ... Time_ ). + Previous experience with prior authorization. + Previous experience with utilization management . + Previous experience in an acute care setting. +… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in XXX zones **Education**… more
- CVS Health (Albany, NY)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management opportunity for RNs with a **New York** state licensure. ... 8:30am - 5pm EST. This role is a registered nurse that utilizes MCG rules and applies medical necessity...unrestricted New York state licensure + 1+ year of Utilization review experience + 1+ year of clinical experience… more
- CVS Health (Albany, NY)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nurse Clinician is a registered professional nurse who demonstrates expert clinical expertise through advanced knowledge and skills in an ... area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research d. Maintains clinical expertise in area… more
- Trinity Health (Syracuse, NY)
- …orientation program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes to the ... operational management of the unit to promote and support an...including the integration of a **dedicated RN onsite virtual nurse ** . + The **option for daily pay** ,… more
- Mount Sinai Health System (New York, NY)
- …the Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators ... **Job Description** The Director of Nursing Professional Practice is a professional nurse with broad knowledge and skill in the professional practice standards, NYS… more
- Ellis Medicine (Schenectady, NY)
- …psychosocial needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning ... Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides… more
- Bassett Healthcare (Cooperstown, NY)
- …patient flow to ancillary testing and procedure areas. + Serves as a consultant and educator with medical staff regarding patient status, bed placement, payer ... requirements, and utilization of resources. + Manages Logistic Center staffing process...Licensure/Certifications: + Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: + Light work: exerting up… more