- Trinity Health (Albany, NY)
- …time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days/Hybrid ( 2 days Remote, 3 days ... in Office) **Position Summary** : The Registered Professional Utilization Management Lead is responsible for upholding...Requirements** : 1. Graduate of a school of nursing. 2 . Current registration as a Registered Professional Nurse… more
- CDPHP (Albany, NY)
- …experience is required as a Licensed Practical Nurse . + Minimum of two ( 2 ) years Utilization Management experience is preferred. + Knowledge of ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...York State license required. + Associates degree or two ( 2 ) years of equivalent experience required. + Minimum two… more
- Trinity Health (Troy, NY)
- …in Troy, NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time days. M-F 8hr shifts The ... selected candidate will** : + Be responsible for the utilization management , both concurrent and retroactive for...ongoing course work each semester + BLS certification + 2 years of experience in acute setting or one… more
- Elevance Health (Latham, NY)
- …you a check, or ask you for payment as part of consideration for employment. ** Utilization Management Representative II** + Job Family: CUS > Care Support + ... ATLANTA + GA, COLUMBUS + OH, COLUMBUS + VA, NORFOLK **Description** **Title: Utilization Management Representative II** **Location:** This position will work a… 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 ... service. Acute care nursing experience preferred. 4. Recent experience in case management , utilization management and/or discharge planning/home care in… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... staff in addressing ethical issues Identifies and assesses resource utilization and safety issues, taking appropriate action Acquires knowledge...equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Elevance Health (Albany, NY)
- …St Louis + Ohio, Cincinnati + Virginia, Norfolk + New York **Description** **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health ... you for payment as part of consideration for employment. ** Nurse Disease Mgmt II (US)** + Job Family: MED...- 7:30 pm, 12:30 pm - 9 pm, or 2 :30 pm - 11 pm EST.** The **Telephonic** **N**… more
- Sedgwick (Albany, NY)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Compliance Nurse Team Lead **PRIMARY PURPOSE** **:** To supervise Medicare Compliance ... Nurses/Medicare Compliance Nurse Sr.; to ensure quality standards are achieved and...FUNCTIONS and RESPONSIBILITIES** + Provides insight and direction to management on report quality and compliance with all company… more
- CDPHP (Albany, NY)
- …minimum of one (1) year clinical experience required. + A minimum of two ( 2 ) years quality/ utilization review experience in an HMO, managed care organization, or ... you to be a part of that experience. The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding accuracy and consistency on… more
- Trinity Health (Troy, NY)
- …experience in acute setting **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management ... **Samaritan Hospital** If you are looking for a position in RN (Registered Nurse ) Case Management in a dynamic hospital, this could be your opportunity. Here at… more
- Centerwell (Clifton Park, NY)
- …of Nursing. + BSN Required, NY State requirements. + Current state license as a Registered Nurse . + 2 years of Home Health experience with a CHHA required. + ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Albany Medical Center (Albany, NY)
- …years in health care, involving benchmarking of data. + Demonstrated progressive management experience, minimum 3-5 years. Skills, Knowledge & Abilities: + Knowledge ... of Workday and Epic is preferred, or knowledge of a similar material management system is required. + Able to communicate effectively at all levels within the… more
- Ellis Medicine (Schenectady, NY)
- …for the comprehensive integration of Discharge Planning, Performance Improvement and Utilization Review activities at patient, hospital, and system levels. 2 ... dental staff or hospital department as needed. Ensures that outcome management (data collection through analysis) information is accurate, communicated, and… more
- Trinity Health (Albany, NY)
- …is to provide on-site support and assistance to hospital case management and hospitalist team to ensure timely identification of inpatients appropriate ... members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. + Screening of clients… more
- Trinity Health (Albany, NY)
- …days during the week **Preferred requirements:** + 1+ year of experience in case management or utilization management + Case Management certification ... an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team...and patient satisfaction + Work closely with the Case Management team to insure the patients are processes timey… more
- Trinity Health (Schenectady, NY)
- …referral sources, and external payers regarding the effective and efficient utilization of program services and available resources.** **Screening of clients through ... **What you will need:** **Must have Active Licensure as a Registered Nurse , Occupational Therapist, Physical Therapist,** **_or_** **LMSW** **A minimum of 2… more