- Trinity Health (Troy, NY)
- …lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital-- Full -TIme Days** If you are ... looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference,...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
- Trinity Health (Schenectady, NY)
- …geriatrics recover from a stroke, traumatic injury or disabling illness. ** Full Time Registered Nurse ( RN ) - Manager - Sunnyview Rehab Hospital - Brain ... **What you will need:** + Current New York State Registered Professional Nurse licensure (The Program ...within 2 years of hire. + Previous experience in nurse management required Our compassionate staff is… more
- CVS Health (Albany, NY)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… 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
- CVS Health (Albany, NY)
- …health. + Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… 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
- CVS Health (Albany, NY)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management opportunity for RNs with a **New York** state licensure. ... Friday, 8:30am - 5pm EST. This role is a registered nurse that utilizes MCG rules and...unrestricted New York state licensure + 1+ year of Utilization review experience + 1+ year of clinical experience… more
- Trinity Health (Troy, NY)
- …through Friday - Samaritan HospitalIf you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be your ... **Employment Type:** Full time **Shift:** Day Shift **Description:** We at...in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management … more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, NY We ... 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 (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Work schedule: Monday through Friday 8:00 ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...Registered Nursing program is required + NYS current RN licensure to practice professional nursing is required +… 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...CT). **_Virtual:_** This role enables associates to work virtually full -time, with the exception of required in-person training sessions,… more
- Trinity Health (Troy, 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:** **Case Manager...member of our caring, compassionate health care team the RN Case Manager will enjoy:** + Hours are 8am-4pm… 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 ... in nursing AND current New York State license and registration as a professional registered nurse AND four years of post-licensure nursing experience. One year… 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...York** . This role enables associates to work virtually full -time, with the exception of required in-person training sessions,… more
- Molina Healthcare (Albany, NY)
- …and experience. * At least 3 years health care management /leadership experience. * Registered Nurse ( RN ) or other advanced clinical or medical licensure. ... active and unrestricted in state of practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide… more
- Elevance Health (Latham, NY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... managed care experience required. **Preferred Skills, Capabilities, and Experiences:** + Utilization Management experience strongly preferred. + Inpatient mental… 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
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Trinity Health New York (THNY) is seeking an experienced and dynamic Oncology service line ... to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage a regional service line dashboard, including oversight of… more