- Trinity Health (Albany, 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
- Fresenius Medical Center (Amsterdam, NY)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. Requisition Job Description Utilization Management is a 24/7 operation and work schedule may include weekends ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current… 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
- Trinity Health (Albany, NY)
- …Hospital in Albany, NY** is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Shift: M-F...**Preferred requirements:** + 1+ year of experience in case management or utilization management +… 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 ... geriatrics recover from a stroke, traumatic injury or disabling illness. ** Full -Time RN -Manager-Sunnyview Rehab Hospital-Brain Injury Unit** Sunnyview Rehab… 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
- 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
- Trinity Health (Albany, NY)
- …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... Full time **Shift:** Day Shift **Description:** Posting ** RN Case Manager** ** Full -Time - Monday-Friday Days...Engage the patient and care team in the joint management of key patient outcomes such as management… more
- Sedgwick (Albany, NY)
- …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business ... lines; and to provide expertise in client specific case management and utilization review requirements and ensure...to promote maximum performance. **Education & Licensing** Current unrestricted RN license in a state or territory of the… more
- CVS Health (Albany, NY)
- …+ 3+ years of experience in a managed care clinical operation environment ( utilization management , case management , and/or behavioral health case ... with members, providers, and community organizations to address the full continuum of our members' health care and social...management ) required. + Unrestricted RN licensure required + 1+ year of DSNP/ MMP… 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
- 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)
- …required by law. The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs ... ** Nurse Case Manager II** **Hours:** **9am-5:30pm EST with...claims or service issues. + Assists with development of utilization /care management policies and procedures **Minimum Requirements:**… more