- 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
- Dartmouth Health (Bennington, VT)
- …matriculated into a BSN program may be considered. * Prior experience in utilization review , discharge planning and/or case management preferred. * 3-5years of ... recent clinical experience required. * VTNursing License required by date of employment. * Case Management Certification required within 2 years ofemployment The case manager is responsible for coordinating a patient-centered plan of care to meet individual… 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
- Sharecare (Albany, NY)
- …support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... Hours are on Central Standard Time. **Job Summary:** The RN has the responsibility for supporting the goals and...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Dartmouth Health (Bennington, VT)
- …matriculated into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management preferred.3-5years of ... recent clinical experience required. VT Nursing License required by date of employment. Case Management Certification required within 2 years ofemployment * Area of Interest:Nursing; * Work Status:2-10 hour shifts or 3-8 hour shifts-weekends; * Job ID:5621… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse 2...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Baylor Scott & White Health (Albany, NY)
- …vary based on position type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff. You oversee care coordination across ... Factors** + Demonstrable knowledge in discharge planning, case management, utilization review and different care levels. +...work experience + Hold a valid registration as a Registered Nurse As a health care system… more
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- CVS Health (Albany, NY)
- …9pm EST depending on business needs **Preferred Qualifications** - 1+ years' experience Utilization Review experience - 1+ years' experience Managed Care - ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the… more
- CenterWell (Clifton Park, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...NY State requirements. + Current state license as a Registered Nurse . + 2 years of Home… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary range: $68,640 - $99,023 Registered Nurse - Full Time Neurosurgery Outpatient Office Work schedule: Monday ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Albany Medical Center (Albany, NY)
- …Endo Work Shift: Day (United States of America) Salary range: $68,640 - $99,023 Registered Nurse Endocrinology & Podiatry Office Albany, NY Work Shift: Monday - ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- CDPHP (Albany, NY)
- …invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care ... and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and...Based on national standards for case management practice, the RN Case Manager will focus on empowering the member… more
- Ellis Medicine (Schenectady, NY)
- …assist in utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files, ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management ...payers and communicates confidential information per policy. + Assists Utilization Management with initial clinical review requests… more
- Highmark Health (Albany, NY)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
- United Therapeutics (Albany, NY)
- …Degree preferably in a health, biological sciences, or related field or + Registered Nurse ( RN ) nursing qualifications or relevant clinical research ... with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management...the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration… more
- OrthoNY (Albany, NY)
- …care. + Responsible for management of Physician block/surgery time; evaluates block utilization and makes recommendations for changes to increase the efficiency of ... the operation of the ASC. + Responsible for ongoing review and revision of policies and procedures; keeps staff...guidance and support to the OR and Pre-op/PACU Charge Nurse to assist them in performing their duties and… more