- CDPHP (Albany, NY)
- …is required as a Licensed Practical Nurse . + Minimum of two ( 2 ) years Utilization Management experience is preferred. + Knowledge of coding/claims processing ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...constituents on CDPHP guidelines, policies, and procedures. QUALIFICATIONS + Registered Nurse or Licensed Practical Nurse… more
- Humana (Albany, NY)
- …excellent written and verbal communication **Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project ... are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality audits,… more
- Humana (Albany, NY)
- …and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, Durable Medical Equipment, and/or ... caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 … more
- CenterWell (Clifton Park, NY)
- …School of Nursing. + BSN Required, NY State requirements. + Current state license as a Registered Nurse . + 2 years of Home Health experience with a CHHA ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Trinity Health (Albany, NY)
- …degree** in nursing from an accredited school and Certified Registered Rehab Nurse preferred (CRRN). + A minimum of 2 years of clinical experience; ... members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients… more
- Trinity Health (Albany, NY)
- …clinical assessment **What you will need:** + Must have Active Licensure as a Registered Nurse , Occupational Therapist, Physical Therapist, _or_ LMSW + A minimum ... sources, and external payers regarding the effective and efficient utilization of program services and available resources.** **Screening of...of 2 years of clinical experience; experience in the rehabilitation… more
- Trinity Health (Troy, NY)
- …through Friday** **Samaritan Hospital** If you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be your ... plan for matriculation in program demonstrated by ongoing course work each semester + 2 years of experience in acute setting **Preferred requirements:** + 1+ year of… more