UTILIZATION MANAGEMENT RN MOSTLY jobs in NEW YORK CITY NY, United Kingdom

needs as appropriate. • For Utilization Management Only: • Issues Determinations, Notices of Action, and other forms... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

needs as appropriate. • For Utilization Management Only: • Issues Determinations, Notices of Action, and other forms... notification detailing clinical decisions. Coordinates with management, subject matter experts, physicians, member representatives...

Join our team at VillageCare as the Full Time Vice President of Utilization Management and lead our UM team in shaping... a significant impact on the lives of our patients while driving innovation and excellence in utilization management practices...

Join our team at VillageCare as the Full Time Vice President of Utilization Management and lead our UM team in shaping... a significant impact on the lives of our patients while driving innovation and excellence in utilization management practices...

. Qualifications: NY State RN UM experience Knowledge of Utilization management processes is required. BSN preferred Prior...Pre-Authorization RN with Utilization Review / Hybrid to Remote Telework after new hire successfully completes 4 – 6...

Job Description: Overview Coordinates and ensures delivery of care; collects utilization management and quality...) months of hire. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS...

field, or RN or CSW. Minimum one to three years previous management experience preferred. Previous managed care experience... in the areas of utilization management and/or case management required. Current NYS CSW if CSW qualified. CCM preferred...

135 years. The Case Manager is responsible for all aspects of discharge planning and utilization management/review..., certified home health care (CHHA), Case Management experience, utilization experience, or managed care organization experience...

Home Health Utilization RN evaluates, predicts, and facilitates the trajectory of patient care. Care Coordination... in the EHP. Home Health Utilization RN will communicate patient plan of care and discharge status with the Primary Care...

’s preferred Knowledge with Utilization management processes preferred Current NY RN license and registration required CCM... staff FREE Online RN to BSN and MSN degree programs! Tuition Reimbursement for all full and part-time staff...

. Previous managed care experience in the areas of utilization management and/or case management preferred. Minimum one year...Pre-Authorization Unit Supervisor / RN / Hybrid / Office and Remote NY based high-quality Medicare and Medicaid health...

planning and utilization of resources. Document all patient interactions, assessments, interventions, and outcomes accurately... and timely. Experience: Valid Registered Nurse (RN) license in the State of New York Minimum of 3 years of experience...

Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment... combination of education and experience. Graduate of an accredited School of Nursing (RN). Current appropriate state licensure...

together. This is a 100% remote opportunity - Monday through Friday 8am - 5pm. In this Behavioral Telephonic RN role... for the best possible care available, and ensuring they have the right services to meet their needs. If you have NY RN...

together. The Telephonic RN Case Manager will be the primary care manager for a panel of members with complex medical... to promote appropriate utilization of services and improved quality of care. Primary Responsibilities: Engage members...

together. The Telephonic RN Case Manager will be the primary care manager for a panel of members with complex medical... to promote appropriate utilization of services and improved quality of care. Primary Responsibilities: Engage members...

Job Title: RN Case Management Location: Bronx, NY Local Pay Rate: $113/hr Travel Package: Hourly Rate... and utilization review experience is highly preferred. Capable of doing discharge planning and referrals to Nursing Homes, Home Care...