- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- CDPHP (Albany, NY)
- …as a Licensed Practical Nurse . + Minimum of two (2) years Utilization Management experience is preferred. + Knowledge of coding/claims processing is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse or Licensed Practical Nurse… more
- Trinity Health (Albany, NY)
- …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Case Manager** **Full-Time Days** **St. Peter's Hospital**...Engage the patient and care team in the joint management of key patient outcomes such as management… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit...care, skilled and/or rehabilitation clinical setting + Experience with utilization management , pre-service denials and/or quality assurance… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Dialysis Registered Nurse ( RN ) is a professional nurse with ... BSN 3-5 Years Med/Surg or Critical Care experience At least 1 year of recent registered nurse dialysis experience Caring for acute and , chronic Hemodialysis and… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …candidates will be considered as vacancies become available. Responsibilities The Staff Registered Nurse ( RN ) is responsible for providing competent, ... and decision-making, deliberate planning, and critical thinking skills. The duties of the Registered Nurse include but are not limited to: Independently plans… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This...the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration… more
- Evolent (Albany, NY)
- …Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts...and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors… more
- Fresenius Medical Center (Albany, NY)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Albany Medical Center (Albany, NY)
- …and resolution of the barriers to discharge in collaboration with social work, utilization management , home health care, care team and family to facilitate ... to improve patient care and outcomes. Qualifications and Ideal Characteristics + Registered nurse with a current license in New York State. + Bachelor's degree… more
- CDPHP (Albany, NY)
- …Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New ... a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and...Care Programs preferred. + Minimum of two (2) years Utilization Management experience is preferred. + Experience… more
- Humana (Albany, NY)
- …Training programs may include, but not be limited to, Care Management , Utilization Management , and/or Compliance. RN licensure is required at all ... + Master of Science in Nursing with a focus on nursing education. + Licensed Registered Nurse ( RN ) in the state where you reside with no disciplinary action… more
- Albany Medical Center (Albany, NY)
- …the field of Clinical Social Work or Nursing with experience in Case Management , Utilization Review and Discharge Planning. * BLS Certification. * Demonstrated ... principles of conflict resolution and promote consensus building.* Represents Case Management /Social Work at organizational committee meetings as directed* Serves as… more
- CenterWell (Clifton Park, NY)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... health first** **$10,000 Sign on Bonus! Immediate Benefits!** The ** RN ** **Clinical Manager** coordinates and oversees all direct care...NY State requirements. + Current state license as a Registered Nurse . + 2 years of Home… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $60,028.00 - $99,023.00 Salary range: Min $68,640 - Max $99,023 Registered Nurse ( RN ) Ob/Gyn Office - Albany, NY Work schedule: ... NSTs Under the Supervision of the Nursing Supervisor and/or Nurse Manager, the RN provides nursing support...utilization of resources to meet patient outcomes (case management ).* Provides age appropriate direct patient care from the… more
- Trinity Health (Albany, NY)
- …other related duties as assigned Experience and Requirements + Active Licensure as a registered nurse , preferably with a **bachelor's degree** in nursing from an ... **Employment Type:** Full time **Shift:** Day Shift **Description:** RN ADMISSION FACILITATOR EDDY SKILLED NURSING FACILITIES (located...accredited school and Certified Registered Rehab Nurse preferred (CRRN). + A… more
- Albany Medical Center (Albany, NY)
- …Salary range: $68,640 - $99,023 Under the Supervision of the Nursing Supervisor and/or Nurse Manager, the RN provides nursing support to primary and subspecialty ... utilization of resources to meet patient outcomes (case management ). + Analyzes patient care needs and utilizes a...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more
- Albany Medical Center (Albany, NY)
- …- $99,023.00 Position Summary Under the Supervision of the Nursing Supervisor and Nurse Manager, the RN Ambulatory provides nursing support to primary and ... in planning, directing, providing and evaluating patient care. The RN Ambulatory is defined within the department to provide...utilization of resources to meet patient outcomes (case management ). + Analyzes patient care needs and utilizes a… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **PRIMARY PURPOSE** **:** To provide professional assessment, ... final determination based on applicable coverage policies, coding guidelines and utilization and practice guidelines. + Reviews medical claims and completes complex… more
- Trinity Health (Schenectady, NY)
- …preferred or obtained within 2 years of hire. + Previous experience in nurse management required Our compassionate staff is there with up-to-the-minute treatment ... Director of Nursing. **What you will need:** + Current New York State Registered Professional Nurse licensure (The Program Nurse Manager requires… more