Utilization Management RN jobs in Schenectady, NY

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RN Clinical Manager *$10,000 Sign on bonus
Visiting Nurse Service of Northeastern NY - Schenectady, NY 12305
Maintain a valid New York State RN License. Participating in the management process which includes team and individual meetings as needed....
Easily apply
RN Utilization Management
RN - Utilization Management - St. RN- Utilization Management at St. Basic knowledge of the utilization management process....
Registered Nurse Post Acute Care Coordinator (RN) Home Healt...
2 – 4 years’ experience in utilization management required. The Registered Nurse will perform clinical and operational processes related to transition /...

Utilization Management RN

Ellis Hospital - 76 reviews - Schenectady, NY
Accurately documents utilization management activities per policy. The UM RN is responsible for preoperative, concurrent and retrospective reviews in accordance...

Licensed Utilization Review Nurse I/II (Call Center Nurse)

Anthem, Inc. - 2,420 reviews - Albany, NY
Licensed Utilization Review I. Licensed Utilization Review Nurse I. Knowledge of the medical management process preferred....

Licensed Utilization Review I/II/III

Anthem, Inc. - 2,420 reviews - Albany, NY
Licensed Utilization Review I. Licensed Utilization Review II. Requires a LPN, LVN, or RN; 2 years of clinical or utilization review experience;1 year of...

Clinical Advisor-RN - Northeast Region

Humana - 3,139 reviews - Albany, NY
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

UM Nurse Consultant Registered Nurse RN

Aetna - 2,587 reviews - Albany, NY
This position is for a Utilization Manager with Aetna's Care Management program in the Public & Labor Dedicated Unit....

UM Nurse Consultant

Aetna - 2,587 reviews - Albany, NY
Requires an RN with unrestricted active license. Applying clinical expertise to assure appropriate benefit utilization *....

RN-Care Management (C3)-St. Peter's Hospital-Fulltime Days

St. Peter's Health Partners - 18 reviews - Albany, NY 12208 (Whitehall area)
The Clinical Care Coordinator engages the patient and care team in the joint management of key patient outcomes across the continuum employing acquired...

RN-St. Peter's Hospital-Clinical Care Coordniator-Part time...

St. Peter's Health Partners - 18 reviews - Albany, NY 12208 (Whitehall area)
The Clinical Care Coordinator engages the patient and care team in the joint management of key patient outcomes across the continuum employing acquired...

RN-Clinical Documentation-St.Peter's Hospital-Fulltime Days

St. Peter's Health Partners - 18 reviews - Albany, NY 12208 (Whitehall area)
Experience with criteria-based chart review, such as Case Management, Utilization Management, Managed care, Quality Improvement preferred....

Lead Case Manager

Clason Point Partners Inc. - Watervliet, NY
$80,000 a year
Applicants must have experience with the TRICARE Medical Management program and its applicable principles, implementation concepts, processes, and tools...
Easily apply
ICU Nurse Manager
Leaders For Today - Albany, NY
Experience with fiscal management including management of resource procurement and allocation. Peter’s Health Partners Mission and Values, the ICU Nurse Manager...
Easily apply
Clinical Documentation Improvement Specialist (RN) - Montros...
Minimum of three (3) years experience in clinical care, utilization review, case management, health information or related field....
Easily apply