- Parexel (Albany, NY)
- **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... solutions. We are seeking a dynamic and experienced Data Management Lead to join our team. If you have...practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable… 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
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …application. Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- CVS Health (Albany, NY)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- CVS Health (Albany, NY)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, ... 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
- Molina Healthcare (Albany, NY)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....payment decisions. * Serves as a clinical resource for utilization management , chief medical officers, physicians and… 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
- Amergis (Red Hook, NY)
- Salary: $2200 / Week The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of ... and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one...state practicing + At least one year of Case Management experience preferred + Current CPR if applicable +… 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
- New York State Civil Service (Albany, NY)
- …be asked for their social security number to verify eligibility. Current registration as a Registered Nurse ( RN ) with the New York State Education Department ... Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 9 AM To 5...New York State license and registration as a professional registered nurse AND four years of post-licensure… 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
- 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
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …Care Manager. Responsibilities Scheduling: Schedules all Community Care (CC) consults as per VA Regulations and Directives, Office of Community Care (OCC) Field ... eligibility. Applies scheduling priority guidelines, adheres to CC consult management timeliness metrics. Ensures designation of patient desired in-network community… more
