- Humana (Albany, NY)
- …us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health ... and Utilization Management experience. The Utilization Management Behavioral Health Nurse ...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
- Trinity Health (Albany, NY)
- …is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr shifts The team ... selected candidate will** : + Be responsible for the utilization management , both concurrent and retroactive for...is realized. **Minimum requirements:** + Current and valid NYS RN license + Bachelor of Science in nursing, or… more
- Humana (Albany, NY)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review Universes and timeliness ... Qualifications** + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health. + Detailed working knowledge… more
- Albany Medical Center (Albany, NY)
- …Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible for Utilization Management , Quality Screening and Delay Management for assigned patients. ... Qualifications and Ideal Characteristics + Registered nurse with a New York State...in an assigned service. + Recent experience in case management , utilization management and/or discharge… more
- CDPHP (Albany, NY)
- …as a Licensed Practical Nurse . + Minimum of two (2) years Utilization Management experience is preferred. + Knowledge of coding/claims processing is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...constituents on CDPHP guidelines, policies, and procedures. QUALIFICATIONS + Registered Nurse or Licensed Practical Nurse… more
- Trinity Health (Troy, NY)
- …through Friday** **Samaritan Hospital** If you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance Great shift...**Preferred requirements:** + 1+ year of experience in case management or utilization management +… 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:** ** RN Case Manager** **Full-Time - Monday-Friday** **St. Peter's...Engage the patient and care team in the joint management of key patient outcomes such as management… 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 ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance Great shift...in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management … 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 ... and develops strategies for variance reduction. Qualifications and Ideal Characteristics 1. Registered nurse with a current license. 2. Associate's degree… more
- Fresenius Medical Center (Troy, NY)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Trinity Health (Albany, NY)
- …Hospital in Albany, NY is looking for an experienced RN to work as a Registered Professional Nurse as part of the C3 Patient Logistics team full time. The ... will need:** **Minimum requirements:** + Current and valid NYS RN license + Current and valid BLS certification +...**Preferred requirements:** + 1+ year of experience in case management or utilization management +… more
- Albany Medical Center (Albany, NY)
- …field of Clinical Social Work or Nursing with experience in Case Management , Utilization Review and Discharge Planning.* BLS Certification.* Demonstrated ... principles of conflict resolution and promote consensus building.* Represents Case Management /Social Work at organizational committee meetings as directed* Serves as… more
- Centerwell (Clifton Park, NY)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... health first** **$10,000 Sign on Bonus! Immediate Benefits!** The ** RN ** **Clinical Manager** coordinates and oversees all direct care...NY State requirements. + Current state license as a Registered Nurse . + 2 years of Home… more
- Trinity Health (Albany, NY)
- …other related duties as assigned Experience and Requirements + Active Licensure as a registered nurse , preferably with a bachelor's degree in nursing from an ... **Employment Type:** Full time **Shift:** Day Shift **Description:** RN ADMISSION FACILITATOR (full time weekdays) EDDY SKILLED...accredited school, Certified Registered Rehab Nurse preferred (CRRN) or currently… more
- Elevance Health (Albany, NY)
- …for payment as part of consideration for employment. **Managed Care Coordinator Clinician Non RN ** + Job Family: MED > Licensed/Certified - Other + Type: Full time + ... MA, NEWTON 55 CHAPEL ST **Description** **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an Elevance location **Shift:** 10:30… more
- Albany Medical Center (Albany, NY)
- …of the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse Supervisor ( RN ), the ... Work Shift: Day (United States of America) Salary range: $71,547 - $107,053 RN Educator Pediatric Endocrinology Division Work schedule: Monday - Friday 8 am to… more
- YesCare Corp (Coxsackie, NY)
- …on Call with the Director of Nursing)** + **Minimum of three (3) years of management experience in a healthcare setting.** + **This position requires an active RN ... new hire and annual orientation and training activities. + Ensures site utilization and compliance with allYesCareand applicable client systems and applications. +… more
- Marriott (Albany, NY)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... Claims Services + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Albany Medical Center (Albany, NY)
- …any other job-related instructions given by the CNO subject to reasonable accommodations. + RN - Registered Nurse - State Licensure and/or Compact State ... and objectives. As a member of the nursing executive management team, the AVP participates in the efficient and...Licensure Current NYS Registered Nurse license - required Physical Demands… more
- CVS Health (Albany, NY)
- …and escalates quality of care issues under the guidance of a Registered Nurse . Utilizes influencing/motivational interviewing skills to ensure maximum member ... to determine when a case is triaged to the RN for more comprehensive oversight. Enhancement of Medical Appropriateness...Evaluation and Documentation of Care. In collaboration with the registered nurse and the member (and, if… more