- 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 zones.… more
- CVS Health (Albany, NY)
- …applications (Outlook, Teams, Excel) **Preferred Qualifications** + Prior authorization or Utilization Management experience + Managed care experience + ... internal and external constituents in the coordination and administration of the utilization /benefit management function. **_Please note: This is a full time… more
- Highmark Health (Albany, NY)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- 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 ... assigned service. Acute care nursing experience preferred.4. Recent experience in case management , utilization management and/or discharge planning/home care… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse -WoundCare-WOCN-Mount Sinai Hospital-FT/Days** The Nurse Clinician is a registered professional nurse who ... 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
- Trinity Health (Syracuse, NY)
- …you are looking for an exciting career, this is your opportunity. The Registered Nurse Coordinator is a dynamic leadership role that contributes to the operational ... management of the unit to promote and support an...admissions, discharges and transfers to achieve most appropriate bed utilization in collaboration with Administrative Coordinator Office. + Coordinate… 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 for...required Licensure/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Physical Requirements: Light work: exerting up to… 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