- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and ... 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Registered Nurse ( RN ) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse ( ... Duties This position is in the Utilization Review Unit and functions as an assessment nurse...to, and works under the general supervision of a Nurse Manager , or other higher-level staff member.… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care Manager - Women's Health/Pediatrics Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply ... Using principles of Patient Centered Medical Home (PCMH), the Care Manager ( RN ) will demonstrate professional nursing practice, excellent communication… more
- Glens Falls Hospital (Glens Falls, NY)
- …week, can be found*here*. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Care Manager (GFMG) (Flexible Scheduling Options for ... patient condition that may necessitate treatment change and will attend regular case review meetings. The Care Manager will work closely with the… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... 2 years relevant experience, required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized… more
- Fresenius Medical Center (Yonkers, NY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (Jamaica, NY)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Bassett Healthcare (Little Falls, NY)
- …needs. The RN contributes to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate for ... after hire. Salary Range: $39.01 - $58.51 per hour Registered Nurse II: The RN ...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule ( RN … more
- Catholic Health (Kenmore, NY)
- …Schedule: Days with Weekend and Holiday Rotation Hours: 0800-1800 Summary: The Registered Nurse ( RN ) Care Manager -Transition of Care, as an active member ... BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York...and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of… more
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