- Glens Falls Hospital (Glens Falls, NY)
- …be foundhere. **Job:** **Nursing - Case Management* **Title:** * RN - Utilization Review Nurse * **Location:** *NY-Glens Falls* **Requisition ID:** *2410V* ... acute care, utilization management, or payer experience preferred. *Licenses/Certifications/Registrations* * ** Registered Nurse ( RN ) in New York State* *… more
- Centene Corporation (New York, NY)
- …**Must have a New York State license or identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review ... of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a...beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary… more
- Travelers Insurance Company (Buffalo, NY)
- …**What Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for ... to the compensable injury and for adhering to multi-jurisdictional Utilization Review criteria. **What Will You Do?**...assigned state preferred. **What is a Must Have?** + Registered Nurse ; Licensed Practical Nurse … more
- Trinity Health (Syracuse, NY)
- …Shift **Description:** 12-day shifts. Emergency department experience preferred. **Position Purpose:** The Registered Nurse Utilization Review (UR), ... Clinical Care Manger (CCM) actively manages the utilization review process and patient progression from...and works collaboratively with unit staff and support team ( RN , Physician/Clinical Affiliate, DPA, MSW, CDI, Rehab Services, etc.)… more
- Crouse Hospital (Syracuse, NY)
- …outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data and client ... requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities:...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Arc Jefferson - St. Lawrence (Canton, NY)
- Registered Nurse ( RN ) - St. Lawrence County Job Details Job Location St.Lawrence County - Canton, NY Salary Range $32.00 - $42.88 Hourly Description Sign on ... - Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated Nurse… more
- Bassett Healthcare (Cooperstown, 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: $36.76 - $55.13 per hour Registered Nurse II: The RN ...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule ( RN … more
- Molina Healthcare (Manhattan, NY)
- …people who are eligible for Medicaid and Medicare.** **We are looking for Registered Nurse Care Review Clinicians with Prior Authorization experience. ... Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational...social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital… more
- Northwell Health (Bay Shore, NY)
- …Degree in Nursing or related field, preferred. + Current license to practice as a Registered Professional Nurse in New York State. + Minimum of two (2) years ... to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases...as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as… more
- Bassett Healthcare (Little Falls, NY)
- …experience as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ ... of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing...Certification: Current NYS license as a Registered Nurse , required BLS certification will be… more
- Bassett Healthcare (Cooperstown, NY)
- …Experience: New graduate or less than one year of experience as an Registered Nurse , required License/ Certification: NYS licensure as Registered ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule. ( RN … more
- Catholic Health (Buffalo, NY)
- …(2) years acute care RN experience required + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease ... Rotation Hours: 7:30am to 5:30pm/8:00am t0 6:00pm Summary: The RN Care Manager, Transition of Care, as an active...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… 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 registered nurse dialysis experience Caring for acute, chronic and peritoneal dialysis… more
- Catholic Health (Kenmore, NY)
- …Days with Weekend and Holiday Rotation Hours: 0800-1600, 0900-1700, 1000-1800 Summary: The Registered Nurse ( RN ) Care Manager-Transition of Care, as an ... 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
- Catholic Health (Buffalo, NY)
- …12-month residency program, residents will transition to a full-time, permanent job as a Registered Nurse in either the ICU, ED or CIVCU. Competency assessments ... have an emphasis on the development of clinical and leadership skills for the novice/beginner nurse to be successful as a competent RN . Components of the program… more
- Trinity Health (Albany, NY)
- …federal and state regulations surrounding the discharge process. + Collaborates with Utilization Review Nurse . + Facilitates an interdisciplinary approach ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Case Manager** **Full-Time - 12hr Days** **St....+ 1+ year of experience in case management or utilization management + Case Management certification (CCM) or Certified… more
- UR Medicine Home Care (Geneva, NY)
- …independence. D. Revises plan of treatments and discharge plan in conjunction with registered nurse case manager, patient, family, physician, care delivery team, ... Exceptional Home Care Nursing Team! Are you a dedicated nurse seeking a fulfilling career with a company that...indicators, including the level of customer satisfaction with the RN function. B. Understands the importance of the … more
- Crouse Hospital (Syracuse, NY)
- …establish the plan of care. Care Manager Position Requirements: + Must have a current Registered Nurse ( RN ) license. + Graduate from an accredited nursing ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare to...maintaining the quality of care. + Participates in the utilization management process using standards of care to determine… more
- Catholic Charities Family Community Services (Newark, NY)
- …in Nursing preferred. **Credentials:** Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required **Experience:** At ... ** Registered Nurse - HH** **Job Details**...as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation… more