- 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
- 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)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse (RN). The license must be active and… more
- UHS (Norwich, NY)
- Position OverviewThe Registered Nurse (RN) or Graduate Nurse (GN) protects, promotes, and optimizes health and abilities, prevention of illness and injury, ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… more
- UHS (Norwich, NY)
- …Health Services (UHS) Chenango Memorial Hospital is seeking a compassionate and skilled Staff Registered Nurse (RN) or Graduate Nurse (GN) dedicated to ... Health Services policy + Shares responsibility for productivity and effective resource utilization including staffing, time management , supplies, and services +… 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
- Molina Healthcare (Syracuse, NY)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... + Assists in implementing health management , care management , utilization management , behavioral health...r equivalent combination of relevant education and experience. + Registered Nurse (RN), Licensed Vocational Nurse… more
- Molina Healthcare (Syracuse, NY)
- …implementation and evaluation of comprehensive educational and of training curriculum for Utilization Management , Case Management , and LTSS staff. Creates ... Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse (RN) Program and an Associate's...+ 3 or more years in case, disease or utilization management ; managed care; or medical/behavioral health… 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
- 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
