- 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 ET zones **Education**… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management operates 24/7, and work schedules will include evenings, weekends, ... Minimum of 2 years of experience as a Registered Nurse in an adult acute care or critical care...areas. + Prior experience in Managed Care, particularly in Utilization Management . + Preference given to candidates… more
- Intermountain Health (Albany, NY)
- …specialty care settings or previous appeals experience. + Demonstrated experience in utilization review and/or case management , hospital insurance billing, third ... **Job Description:** The RCO Audit & Appeals RN Consultant is responsible for consulting on clinical Appeals and Audits for Intermountain Health. The Audit/Appeals… 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 for...required Licensure/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: Light work: exerting up to… more
- Catholic Health Services (West Islip, NY)
- …a hospital care management leadership role is required. Experience in utilization management , working with managed care organizations, and discharge planning ... : Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue… more
- Trinity Health (Syracuse, NY)
- …interdisciplinary care for stable and critically ill patient populations. 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
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