- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... Sign-On Bonus! Schedule: Full Time: 8:00am-4:30pm, requires 6 weekends a year. Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …approaches to management of complex client care. The Critical Care Registered Nurse (RN) is responsible for providing competent, evidence-based care to ... practice in an ongoing process, based on best evidence. The Critical Care Registered Nurse (RN) provides peers with informal constructive feedback for… more
- Trinity Health (Syracuse, NY)
- …patients' lives while advancing your career in a supportive atmosphere. **Position Purpose:** Registered Nurse Coordinator is a key leadership role that helps ... patient care, leading a dedicated team, and taking on management tasks, this role is a great opportunity to...The Nurse Leader (NL) is a licensed registered nurse (RN) accountable for leading, managing… more
- Crouse Hospital (Syracuse, NY)
- …of hospital resources while maintaining the quality of care. + Participates in the utilization management process using standards of care to determine the most ... Care Manager Position Requirements: + Must have a current Registered Nurse (RN) license. + Graduate from...- Five (5) years acute hospital experience. + Case Management or Utilization Management experience… more
- Trinity Health (Syracuse, NY)
- …a strong orientation program and opportunities for continued education and growth. The Registered Nurse Supervisor is a dynamic leadership role that contributes ... to the operational management of the unit to promote and support an...including the integration of a **dedicated RN onsite virtual nurse ** . + The **option for daily pay** ,… more
- Molina Healthcare (Syracuse, NY)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Molina Healthcare (Syracuse, 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
- Molina Healthcare (Syracuse, NY)
- …of payment decisions. * Serves as a clinical resource for utilization management , chief medical officers, physicians and member/provider inquiries/appeals. ... and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- Mercy Flight Central (Marcellus, NY)
- …and Qualifications + Minimum three years ED or ICU experience + Certified Flight Registered Nurse (CFRN) within one year of hire + Maintain proficiency and ... FLIGHT NURSE Syracuse, NY (http://maps.google.com/maps?q=4960+Limeledge+Road+Marcellus+NY+USA+13108) * Air Medical Apply...pursuant to the standards as set forth by company management and the Department of Health. Summary of Essential… more
- Molina Healthcare (Syracuse, NY)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review. + Minimum two years of experience in… more
- Trinity Health (Syracuse, NY)
- …candidate will have three to five years supervisory experience. + Current licensure as a Registered Nurse in New York State. Graduate of an accredited School of ... Night Shift **Description:** This is an exciting career opportunity for experienced Registered Nurses (RNs) looking to join a resilient and exceptional leadership… more
- CenterWell (Liverpool, 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 ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...(NY state requirement) + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- Molina Healthcare (Syracuse, NY)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management … more
- Molina Healthcare (Syracuse, NY)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (Syracuse, NY)
- …and cost-effective member care. Essential Job Duties * Performs audits in utilization management , care management , member assessment, behavioral health, ... care experience, with at least 1 year experience in utilization management , care management , and/or...or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active… more
- Crouse Hospital (Syracuse, NY)
- …Registered Professional Nurse in New York State. + Recent acute care Utilization Management and Case Management experience. + Current certification in ... support systems. Coordinates financial and budgetary acquisitions, allocations and utilization of resources needed for quality, cost-effective, program(s)/service(s). +… more
- Molina Healthcare (Syracuse, NY)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative...combination of relevant education and experience. + Registered Nurse (RN), Licensed Vocational … more
- STG International (Auburn, NY)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. * Comply ... to ensure compliance and patient safety. * Participates in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- Crouse Hospital (East Syracuse, NY)
- …and communication skills. + Desirable Qualifications: + Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse . + Bachelor's degree ... stability within a fast-growing Medical Practice + Longevity and consistency of management + Tuition reimbursement program + Affiliation with Crouse Hospital Other… more