- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- CVS Health (Albany, NY)
- …role is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant...**Required Qualifications** - Must have active current and unrestricted RN licensure in state of residence - 3+ years… more
- Albany Medical Center (Albany, NY)
- …apply in support of departmental and patient care quality improvement. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact ... ensure compliance with all regulatory standards. Planning and Program Management : + Incorporate system and institutional values, goals and...State Licensure current NYS Registered Nurse license Upon Hire required All… more
- Highmark Health (Albany, NY)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... result in the greatest ROI for the Organization. Further, in a matrix management environment, will be responsible for collaborative work with the other members of… more
- Highmark Health (Albany, NY)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more