- Trinity Health (Troy, NY)
- …lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital-- Full -TIme Days** If you are ... looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference,...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates outpatient knowledge, skills,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Albany, NY)
- …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CenterWell (Albany, NY)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- Trinity Health (Troy, NY)
- …through Friday - Samaritan HospitalIf you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be your ... **Employment Type:** Full time **Shift:** Day Shift **Description:** We at...in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management … more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, NY We ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Nursing program is required* Current NYS license as a Registered Nurse is required* Minimum of 1-2… more
- Elevance Health (Latham, NY)
- …an accommodation is granted as required by law._ The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within ... **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the...CT). **_Virtual:_** This role enables associates to work virtually full -time, with the exception of required in-person training sessions,… more
- Albany Medical Center (Albany, NY)
- …knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
- Saratoga Hospital (Saratoga Springs, NY)
- …by departmental management under the supervision of the circulating registered nurse during daily and emergent situations. Hands surgical instruments ... of drains, implants, grafts, etc inserted intra-operatively. Ensures that the circulating registered nurse has all necessary information for documentation on the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …by departmental management under the supervision of the circulating registered nurse during daily and emergent situations. Hands surgical instruments ... of drains, implants, grafts, etc inserted intra-operatively. Ensures that the circulating registered nurse has all necessary information for documentation on the… more
- Albany Medical Center (Albany, NY)
- …and accurately. The Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the OR setting under ... the direction of the OR RN clinical manager(s). Assures surgeons' needs as identified on...as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure… more
- Elevance Health (Latham, NY)
- The **Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information ... **Location:** **Virtual -** This role enables associates to work virtually full -time, with the exception of required in-person training sessions (when indicated),… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …eligibility. Applies scheduling priority guidelines, adheres to CC consult management timeliness metrics. Ensures designation of patient desired in-network community ... as appropriate, documents cancellations and no-show of community appointments, refers to RN or MSA as appropriate for rescheduling. Effectively uses Consult Tracking… more
- Elevance Health (Latham, NY)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Latham, NY)
- …to 8:00 PM EST. The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... ** Nurse Case Manager II** **Location:** This role enables...providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Trinity Health New York (THNY) is seeking an experienced and dynamic Oncology service line ... to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage a regional service line dashboard, including oversight of… more
- Elevance Health (Latham, NY)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires ... ** Nurse Case Manager II** **Work Schedule: M-F 8am-430pm...**Locations** : This role enables associates to work virtually full -time, with the exception of required in-person training sessions,… more
- Elevance Health (Latham, NY)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Hours: Monday - Friday...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more