• UM RN

    Centers Plan for Healthy Living (Jamaica, NY)
    UM RN 90-27 Sutphin Blvd, Jamaica, NY 11435, USA Req #12129 Wednesday, November 13, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who… more
    Centers Plan for Healthy Living (11/14/24)
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  • Utilization Management RN (mostly remote)

    VNS Health (Manhattan, NY)
    …as assigned. QualificationsLicenses and Certifications: Current license to practice as a Registered Professional Nurse or an Occupational Therapist in New York ... State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner (NP) certification with background or degree in Public Health preferred… more
    VNS Health (11/05/24)
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  • Appeals Manager, Department of Utilization Case…

    BronxCare Health System (Bronx, NY)
    …special projects and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate ... purpose of reporting and implementing corrective measures. - Provide feedback to UM staff related to denial prevention strategies. - Participates in JCAHO hospital… more
    BronxCare Health System (09/18/24)
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  • Case Managment /Care Coordination Director

    Nuvance Health (Norwalk, CT)
    …provider of cardiology care. Non-acute care is offered through various affiliates, * Registered Nurse or Masters Social Work with management experience* *$30K ... desired but not required. MSW considered Minimum Experience: five years Desired: Registered Nurse with management experience . Knowledge of community resources,… more
    Nuvance Health (10/13/24)
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