- Outreach Development Corporation (Brentwood, NY)
- …Scope + Conduct and/or monitor all medication calls and health calls as scheduled + Registered Nurse must supervise the License Practical Nurse daily + Work ... and training. For more information, please visit www.opiny.org. Position: Nurse ( RN )-Residential The RN assesses...and conduct any follow up as required. + The Registered Nurse must complete a Supervisory Note… more
- WMCHealth (Port Jervis, NY)
- Registered Nurse Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Nursing/Nursing Management Department: Chemical Dependency ... Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Registered Nurse provides professional nursing care in an assigned clinic or… more
- WMCHealth (Port Jervis, NY)
- Registered Nurse Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Nursing/Nursing Management Department: Med-Surg - 3RD Floor ... link Internal Applicant link Job Details: Summary: JOB: The Registered Nurse provides professional nursing care in...health care providers and community resources to ensure full utilization of support services which address patient needs. .… more
- WMCHealth (Port Jervis, NY)
- Registered Nurse Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Nursing/Nursing Management Department: General - Adult Psych ... Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Registered Nurse provides professional nursing care in an assigned clinic or… more
- The Mount Sinai Health System (New York, NY)
- …clinical or geographic division(s); is accountable for divisional human resource management , effective utilization of services, initiation and maintenance of ... quality standards and program development. Participates as a team member in formulation of hospital and patient care services policies and procedures and in developing budgets. **Strength Through Diversity** The Mount Sinai Health System believes that… more
- Molina Healthcare (Bronx, NY)
- …on the severity of illness and the site of service. **We are seeking a Registered Nurse with previous UM and** **inpatient experience along with knowledge of the ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management … more
- Molina Healthcare (Bronx, NY)
- …on the severity of illness and the site of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must ... unit. **UM Experience** **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- Elevance Health (New York, NY)
- …must reside in tri-state area (NY, NJ, or CT). The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the ... **LTSS Service Coordinator - RN Telehealth** _Location:_ While this position is remote,...telephonic clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral… more
- Elevance Health (New York, NY)
- …inter and intradepartmental teams projects and initiatives. + Previous experience in case management / utilization management with a broad range of experience ... Monday-Friday 8:00 am -5:30 pm Eastern Standard Time The Behavioral Health Care Manager II is responsible for managing...an equivalent background. Current active unrestricted license such as RN , LCSW, LMSW, LMHC, LPC, or LMFT in New… more
- Elevance Health (Latham, NY)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Sharecare, Inc. (Albany, NY)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Actalent (Syracuse, NY)
- …UAS, ambulatory care, community health, Home health, LTSS, MLTC, medicaid, utilization management Additional Skills & Qualifications: Minimum Resource ... other technical and administrative tasks essential to the efficient operation of the department. Skills: RN , assessment, care management , case management ,… more
- Albany Medical Center (Albany, NY)
- …data. + Ability to demonstrate trends/findings using statistical tools. Licenses and Certifications: RN - Registered Nurse - NY State Licensure and/or ... information systems which analyze productivity and cost benefit, and related fiscal management and personnel utilization to objectives and quality of care.… more
- Gateway Hudson Valley (Kingston, NY)
- …for which a bachelor's degree is required 3. NYS licensure and registration as a Registered Nurse and a bachelor's degree 4. A Bachelor's level education or ... Management team in Ulster County. + Participate in county-wide care management trainings, case reviews, and utilization reviews. + Participate in treatment… more
- Mercy University (Dobbs Ferry, NY)
- …of Science Degree from an accredited institution required. + NYS Registered Nurse License + Clinical Simulation Certification (CHSOS/CHSE) Physical/Other ... conducting clinical simulations, lab set up, lab breakdown, and management of lab equipment and supplies. + Supports the...lab equipment and supplies. + Supports the planning and utilization of skills & simulation in the Nursing program.… more
- Acacia Network (New York, NY)
- …the necessary documentation are completed and return to review by the program registered nurse + Responsible for maintaining a clean and sanitary residence ... the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are...attend all trainings and meetings as mandated by the management team or the agency + Remains sensitive and… more
- Molina Healthcare (Bronx, NY)
- …or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management (UM) is highly preferred. Additional experience with ... + Processes requests within required timelines. + Under the direction of a Registered Nurse , identifies appropriate benefits, eligibility and expected length of… more
- HCR Home Care (Queensbury, NY)
- …using the development of person-centered goals, culturally competent care management , and professional healthcare and social service coordination. Health Home ... solutions and resources for all primary, complex chronic diseases, behavioral health and long-term care needs in the Health...- and short-term plans, when appropriate , including the utilization of community supports with the goal of reducing… more
- Centers Plan for Healthy Living (Farmingdale, NY)
- …Identify when CDPAS prospects have completed processing, and submit CDPAS authorization to Utilization Management . + Daily tracking, and weekly reports to ... review the CDPAS documents obtained by the Field Intake RN and Intake Social Worker team, ensuring quality and...cases for upcoming enrollment period. + Communicate with Care Management and Social Work department to guarantee smooth transition… more
- Guthrie (Ithaca, NY)
- …demonstrates leadership and autonomy in nursing practice. Preferred experience with care management / utilization review, and payer knowledge. RN considered. ... Summary The Wellness Nurse plays a key role in health promotion...plan for each patient including, but not limited to, psychosocial/ behavioral risk factors, physiological risk factors, age-appropriate preventative services,… more