• The University of Vermont Health Network (Plattsburgh, NY)
    Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
    JobGet (06/01/24)
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  • RN Utilization Management

    Trinity Health (Albany, NY)
    …is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr shifts The team ... selected candidate will** : + Be responsible for the utilization management , both concurrent and retroactive for...is realized. **Minimum requirements:** + Current and valid NYS RN license + Bachelor of Science in nursing, or… more
    Trinity Health (04/25/24)
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  • RN , Utilization Management

    University of Rochester (Rochester, NY)
    Responsibilities **General Description:** The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and ... majority of work is remote with some on-site requirements as needed. **Qualifications:** RN with Utilization Review experience preferred; 3-5 years of recent… more
    University of Rochester (05/08/24)
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  • Utilization Management Nurse

    CVS Health (Albany, NY)
    …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...acute setting - Must have active current and unrestricted RN licensure in state of residence - Must be… more
    CVS Health (06/13/24)
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  • Utilization Mgmt RN - $20K Sign…

    Crouse Hospital (Syracuse, NY)
    Utilization Management RN has...patient's stay. Job Requirements: + Currently licensed as a Registered Nurse in New York State. + ... knowledge and is proficient with standard Utilization Review processes. The Utilization Management RN is an integral part of the multidisciplinary team,… more
    Crouse Hospital (04/12/24)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    Management /Social Work Work Shift: Day (United States of America) Responsible for Utilization Management , Quality Screening and Delay Management for ... assigned patients. Salary: $65,062.40 - $107,348.80 * Completes Utilization Management and Quality Screening for assigned...with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State… more
    Albany Medical Center (05/08/24)
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  • Registered Nurse ( RN ) Case…

    Northwell Health (Huntington, NY)
    …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for… more
    Northwell Health (06/08/24)
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  • Registered Nurse Manager -Care…

    Trinity Health (Syracuse, NY)
    …appropriate discharge plan for the patients within their service area. The Registered Nurse Manager is accountable for applying positive managerial strategies ... knowledge to pre and post service review. + Analyzes utilization management trends. + Unit and organizational...accredited School of Nursing and current licensure as a Registered Nurse in New York State. +… more
    Trinity Health (06/07/24)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …of an approved registered nursing program with a current license as a registered nurse . BSN or Case Management Certification preferred. EXPERIENCE: Three ... patient care. The Case Manager will review all patients for utilization management and appropriate discharge planning. The Case Manager's average caseload will… more
    Arnot Health (06/06/24)
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  • Registered Nurse ( RN )…

    Glens Falls Hospital (Glens Falls, NY)
    …week, can be found here. **Job:** **Nursing - Case Management * **Title:** * Registered Nurse ( RN ) - Case Manager (Emergency Services)* **Location:** ... the CM ED include, but are not limited to, utilization review, case management , physician collaboration for...other experience will be considered *Licenses, Certifications, Registrations* * Registered Nurse ( RN ) in New… more
    Glens Falls Hospital (05/21/24)
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  • Case Manager - Registered Nurse

    Northwell Health (New York, NY)
    …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... defined patient population, and as it relates to care management and the delivery of patient care services. Communicates...Masters Degree, preferred. Current license to practice as a Registered Professional Nurse in New York State.… more
    Northwell Health (05/22/24)
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  • RN Case Management - Acute Care,…

    Trinity Health (Troy, NY)
    …TRACK weekend Samaritan Hospital If you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be your ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance Great shift...setting Preferred requirements: 1+ year of experience in case management or utilization management Case… more
    Trinity Health (05/24/24)
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  • RN Case Management - Acute Care,…

    Trinity Health (Troy, NY)
    …through Friday** **Samaritan Hospital** If you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance Great shift...**Preferred requirements:** + 1+ year of experience in case management or utilization management +… more
    Trinity Health (04/06/24)
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  • RN Case Management (C3) - for ACUTE…

    Trinity Health (Albany, NY)
    …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN Case Management (C3)** **Full-Time - Monday-Friday** **St. Peter's or Samaritan… more
    Trinity Health (04/30/24)
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  • Registered Nurse Case Manager

    Northwell Health (Manhasset, NY)
    …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + ... Submits data to management regarding case management and/or quality initiatives....entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
    Northwell Health (06/16/24)
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  • RN ( Registered Nurse

    Floral Long Term Care (Port Chester, NY)
    RN ( Registered Nurse ) Supervisor Floral Long Term Care is looking for a talented and hard-working RN Supervisor to join their ever-growing team. The ... RN Supervisor assumes primary nursing responsibilities for the management of resident and staff activities. The RN...as a professional role model to the other staff. RN ( Registered Nurse ) Supervisor Job… more
    Floral Long Term Care (05/26/24)
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  • VP Care Management Post-Acute Care…

    Kaleida Health (Buffalo, NY)
    …Degree in Health related or Business field preferred. 10 years of care management / utilization management experience required in hospital and/or ambulatory ... The Vice President (VP) role supports the system Chief Nurse Executive (CNE) in providing executive leadership and guidance...RN license required upon hire. Certification in Case Management preferred. (ie, ACM, CCM, HCQM, CMAC) **Status:** Full… more
    Kaleida Health (04/18/24)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse to facilitate patient discharge plans, support coordination ... of care activities, and assist in utilization management activities under the direction of a registered... management activities under the direction of a registered nurse and/or social worker. Responsibilities include… more
    Ellis Medicine (06/11/24)
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  • RN Case Management - Acute Care,…

    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 ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance Great shift...in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management more
    Trinity Health (05/09/24)
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  • Inpatient Nurse Case Manager: Mon-Fri, Day…

    Albany Medical Center (Albany, NY)
    …proactively with the Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of resources to ... and develops strategies for variance reduction. Qualifications and Ideal Characteristics 1. Registered nurse with a current license. 2. Associate's degree… more
    Albany Medical Center (04/17/24)
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