• Utilization Management Nurse

    CVS Health (Albany, NY)
    …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
    CVS Health (07/23/25)
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  • Utilization Management Nurse

    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
    CVS Health (08/01/25)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …This is a full-time, telework role. Schedule is Monday through Friday, 8am-5pm EST. Utilization Management is a 24/7 operation and work schedules will include ... Qualifications** + 2+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing… more
    CVS Health (08/02/25)
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  • Utilization Management Clinical…

    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
    CVS Health (07/31/25)
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  • Registered Nurse -Quality Management

    Veterans Affairs, Veterans Health Administration (Bronx, NY)
    …Responsibilities The James J. Peters VA Medical Center is recruiting for 1 Quality Management Registered Nurse for the Renal Transplant Program. At the full ... but are not limited to the following: The Quality Management (QM) Registered Nurse (RN) demonstrates leadership,...ensure a systems approach to healthcare delivery. The QM Consultant directly supports facility leadership in areas of planning,… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Registered Nurse (RN)-Patient Care…

    Northwell Health (New York, NY)
    …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
    Northwell Health (07/11/25)
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  • Clinical Nurse -WoundCare-WOCN-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Job Title: Clinical Nurse -WoundCare-WOCN-Mount Sinai Hospital-FT/Days** The Clinical Nurse is a registered professional nurse who ... in an area of clinical nursing specialization. The Clinical Nurse is able to guide and promote the growth...Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research + Maintains clinical expertise in area… more
    Mount Sinai Health System (07/29/25)
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  • Nurse Case Manager

    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
    Albany Medical Center (06/26/25)
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  • Director of Nursing Professional Practice, RN…

    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
    Mount Sinai Health System (07/15/25)
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  • Case Manager (Inpatient Units)

    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
    Ellis Medicine (07/25/25)
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