- Elevance Health (Melville, NY)
- RN Utilization Management - Case Management (Medicaid Long Term Care) JR155671 **Location** : New York or New Jersey. **Virtual:** This role enables ... face-to-face onboarding and skill development as needed. The **Medical Management Nurse ** is responsible for review of...and Experiences:** + A combination of utilization review/ utilization management and Case … more
- MVP Health Care (Tarrytown, NY)
- …New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after hire. + At least 3 years of ... interaction **Your key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that includes… more
- Mount Sinai Health System (New York, NY)
- …assure timely and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care ... degree preferred + 5 years of Case Management and 6 years as a clinical nurse...New York State + Certification in case management is preferred Non-Bargaining Unit, BEZ - Utilization… more
- Northwell Health (Huntington, NY)
- **Req Number** 161299 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** RN / Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... or a minimum of 3-5 years? experience as a RN in an acute care setting. **Licensing and Certification...patients where utilization review, discharge planning, and/or case management will be needed using standardized… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' ... disability services for timely return to work. + Provides case management , utilization review, continued...MagnaCare policies and procedures. Essential Qualifications + Currently licensed Registered Nurse in the state of NY,… more
- Outreach Development Corporation (Brentwood, NY)
- F/T Registered Nurse ; Brentwood, NY, US Salary...client(s) to emergency and/or health facility. + The Program RN will attend Supervision with The Nurse ... range: $65000 - $85000 EXCITING. REWARDING. DIFFERENCE MAKING!! The RN assesses health related needs of; monitors ongoing health...all medication calls and health calls as scheduled + Registered Nurse must supervise the License Practical… more
- Mount Sinai Health System (New York, NY)
- …admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve ... Manager (CM) will be responsible for all aspects of case management for an assigned group of...Sinai St. Luke's and Mount Sinai West, BEZ - Utilization Management - WST, Mount Sinai West… more
- Molina Healthcare (New York, NY)
- …authorization requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference ... **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States...meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience**… more
- Nuvance Health (Carmel, NY)
- …Licensure as RN required; LMSW /LCSW preferred; Case management certification preferred. 2.Work Experience:3 years ... Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. Location: Carmel-PHC 670 Stoneleigh Avenue… more
- Nuvance Health (Norwalk, CT)
- …the operations and activities of the Care Coordination Department including discharge planning, utilization management and high-risk case management . ... - FOR ELIGIBLE EXTERNAL CANDIDATES* Director, Acute Care Hospital Case Management Opportunity! *Required: BSN or MSW...not required. MSW considered* *Minimum Experience: five years* Desired: Registered Nurse with management experience.… more
- Nuvance Health (Norwalk, CT)
- *Description* *Clinical Care Coordinator/ RN Case Manager - Per Diem Opportunity!* *Rate: $51.50* *Summary:* The Clinical Care Coordinator - Unit is responsible ... in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with...and written. Minimum Experience: three years Desired: Certification in Case Management preferred or willing to obtain.… more
- Nuvance Health (Danbury, CT)
- …Credentials: RN Company: Western CT Home Care Inc Org Unit: 607 Department: Registered Nurse Exempt: Yes Salary Range: $40.43 - $75.10 Hourly We are ... well being of the client within Agency policy. Supports utilization of medical resources through application of clinical expertise....or reported, and termination of care when goals of management are attained, or when termination of case… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At...high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department ... Stony Brook Medicine, a **TH Staff Associate/ Case Manager** is a valuable member of our team,...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse … more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... an acute care setting * Minimum of 5 years of progressive leadership experience in case management or utilization review * Proven leadership experience with… more
- Nuvance Health (Danbury, CT)
- …24 Shift: 9am-930pm; including every 3rd weekend rotation Summary: The purpose of the Utilization Management Nurse is to support the physician, the ... : Two Years of Utilization Review experience Required : CT Registered Nurse License Working Conditions: Manual: significant manual skills/motor coord &… more
- CenterWell (Hauppauge, NY)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home health ... of care analysis to determine efficiency, the efficacy of case management system as well as any...(NY state requirement) + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Hartford HealthCare (Bridgeport, CT)
- …be responsible for assisting in the implementation and oversight of all aspects of case management . Using best practice concepts, this role will assist the ... for the quality, clinical, financial and patient satisfaction outcomes . Responsible for case management activities including but not limited to authorization of… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …certifications like Diabetes educator, Pediatric Nursing, Gerontological Nursing. * Current licensed Registered Nurse ( RN ) with state licensure; bachelor's ... About The Role Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases...services to its clients. Cases are maintained by the Nurse Case manager. The Nurse … more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …and as directed by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in state of practice. + ... MDS Coordinator RN The Glengariff Healthcare Center is looking for...state regulations and company policy and procedures.Acts as in-house case manager by considering all aspects of the residents… more