- 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 ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in Eastern Standard Time… more
- CVS Health (Albany, NY)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- Lincoln Financial (Albany, NY)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
- Highmark Health (Albany, NY)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse -WoundCare-WOCN-Mount Sinai Hospital-FT/Days** The Nurse Clinician is a registered professional nurse who ... 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 + Maintains clinical expertise in area… more
- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... appropriate LOS and financial constraints. + Provides collaborative care management with the primary nurse in assessing...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
- Albany Medical Center (Albany, NY)
- …proactively with the Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of resources to ... outcomes within appropriate LOS and financial constraints. c. Provides collaborative care management with the primary nurse in assessing for discharge planning… more
- Trinity Health (Syracuse, NY)
- …you are looking for an exciting career, this is your opportunity. The Registered Nurse Coordinator is a dynamic leadership role that contributes to the operational ... management of the unit to promote and support an...admissions, discharges and transfers to achieve most appropriate bed utilization in collaboration with Administrative Coordinator Office. + Coordinate… more
- Catholic Health Services (Smithtown, NY)
- …a hospital care management leadership role is required Experience in utilization management , working with managed care organizations, and discharge planning ... Hub and the nursing supervisors will report to them. The Director of Care Management and Nurse Operations will: Work collaboratively with, but not limited to,… 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
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