- 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
- CVS Health (Albany, NY)
- …every day. **Position Summary** CVS Health Aetna has an opportunity for a full -time Utilization Management (UM) Nurse Consultant. As a Utilization ... Services and benefit utilization . **Required Qualifications** + Registered Nurse ( RN ) with current...as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
- Trinity Health (Schenectady, NY)
- …geriatrics recover from a stroke, traumatic injury or disabling illness. ** Full Time Registered Nurse ( RN ) - Manager - Sunnyview Rehab Hospital - Brain ... **What you will need:** + Current New York State Registered Professional Nurse licensure (The Program ...within 2 years of hire. + Previous experience in nurse management required Our compassionate staff is… more
- CVS Health (Albany, NY)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …application. Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Albany, NY)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... Time Zone. + Must have an active and unrestricted RN ( _Registered Nurse_ ) licensure in the state...Previous experience with prior authorization. + Previous experience with utilization management . + Previous experience in an… more
- CVS Health (Albany, NY)
- …health. + Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… 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
- CVS Health (Albany, NY)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- CVS Health (Albany, NY)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management opportunity for RNs with a **New York** state licensure. ... Friday, 8:30am - 5pm EST. This role is a registered nurse that utilizes MCG rules and...unrestricted New York state licensure + 1+ year of Utilization review experience + 1+ year of clinical experience… 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
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Work schedule: Monday through Friday 8:00 ... 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)
- …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
- New York State Civil Service (Albany, NY)
- …be asked for their social security number to verify eligibility. Current registration as a Registered Nurse ( RN ) with the New York State Education Department ... in nursing AND current New York State license and registration as a professional registered nurse AND four years of post-licensure nursing experience. One year… more
- Elevance Health (Latham, NY)
- …moderately complex case types that do not require the training or skill of a registered nurse . **Primary duties may include but are not limited to:** + ... **Medical Management Clinician** **Location:** **New York** . This role...York** . This role enables associates to work virtually full -time, with the exception of required in-person training sessions,… 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
- Molina Healthcare (Albany, NY)
- …and experience. * At least 3 years health care management /leadership experience. * Registered Nurse ( RN ) or other advanced clinical or medical licensure. ... active and unrestricted in state of practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide… 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
- Elevance Health (Latham, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... managed care experience required. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience strongly preferred. + Inpatient mental… more