- Albany Medical Center (Selkirk, NY)
- …Shift:Day (United States of America)Salary Range:$83,200.00 - $128,960.00Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine ... 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 (Pattersonville, NY)
- …works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to ... health care team and develops strategies for variance reduction.Minimum Qualifications:* Registered nurse with a current license.* Bachelor's degree preferred… more
- Trinity Health (Albany, NY)
- **Employment Type:** Part time **Shift:** 12 Hour Day Shift **Description:** ** RN Utilization Management - Per diem** If you are looking for an RN ... accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for...need:** + **Minimum requirements:** + Current and valid NYS RN license + Bachelor of Science in nursing, or… more
- Trinity Health (Albany, NY)
- …for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) per diem. The team is willing to help train the ... **Employment Type:** Part time **Shift:** Day Shift **Description:** ** RN for Utilization Management - Per Diem** **St. Peter's Hospital in Albany, NY**… more
- Fresenius Medical Center (Amsterdam, NY)
- …Director. + Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of ... member eligibility. Facilitate timely workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as… more
- Fresenius Medical Center (Albany, NY)
- Experienced dialysis RN for Charge 1 role SIGN ON BONUS AVAILABLE !! **PURPOSE AND SCOPE:** Works with the Facility Manager, facility staff and physician to ... staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and… more
- 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
- 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...essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within… more
- Molina Healthcare (Albany, NY)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Sharecare (Albany, NY)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… 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...essential face-to-face onboarding and skill development. *Please note that per our policy on hybrid/virtual work, candidates not within… more
- 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:** Posting ** RN Case Manager** **Full-Time - Monday-Friday Days or Evening, FT TRACK Weekend Days,… 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 electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... post-discharge coordination to reduce hospital readmission rates and emergency room utilization . * Performs face-to-face in-person visits in a variety of settings… more
- Elevance Health (Latham, NY)
- The **Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information ... and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- Elevance Health (Latham, NY)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Latham, NY)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Hours: Monday - Friday...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
