- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST/CST zones… more
- CVS Health (Albany, NY)
- …experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult… more
- CVS Health (Albany, NY)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse -Wound Care-WOCN-Mount Sinai Hospital-FT/Evenings 4pm-12am** The Nurse Clinician is a registered professional ... skills in an area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research + Maintains clinical expertise in area… more
- Albany Medical Center (Albany, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... appropriate LOS and financial constraints. + Provides collaborative care management with the primary nurse in assessing...assigned service - required + Recent experience in case management , utilization management and/or discharge… more
- Trinity Health (Syracuse, NY)
- …orientation program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes to the ... operational management of the unit to promote and support an...including the integration of a **dedicated RN onsite virtual nurse ** . + The **option for daily pay** ,… more
- Ellis Medicine (Schenectady, NY)
- …psychosocial needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning ... Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides… more
- Bassett Healthcare (Cooperstown, NY)
- …patient flow to ancillary testing and procedure areas. + Serves as a consultant and educator with medical staff regarding patient status, bed placement, payer ... requirements, and utilization of resources. + Manages Logistic Center staffing process...Licensure/Certifications: + Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: + Light work: exerting up… more
- Catholic Health Services (West Islip, NY)
- …hospital care management leadership role is required. + Experience in utilization management , working with managed care organizations, and discharge planning ... : + Works collaboratively with, but not limited to, Medical Staff, Quality/Risk Management , CH Utilization and Central Appeals, Managed Care and Revenue Cycle… more
- Deloitte (New York, NY)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... for this role ends on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will have the opportunity to… more
- UHS (Vestal, NY)
- …the highest standards of patient care through effective resource coordination and utilization . In this role, you'll collaborate with clinical teams to manage ... connection count. Primary Department, Division, or Unit: UHS Physician Practice Management Primary Work Shift: Day Regular Scheduled Weekly Hours: 40 Compensation… more
- Guthrie (Binghamton, NY)
- …skills. B. Serves as an advocate for patients and family in the clinical management of care. Confers with leadership team and professional staff to enhance delivery ... role in staffing and scheduling of personnel, considering appropriate utilization of personnel considering scope of practice, competencies, patient needs… more