Utilization Management RN jobs in Schenectady, NY

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BH Care Manager I,ll,llI - LCSW,LMFT,LMHC, LPC, LMSW, RN - A...
Anthem, Inc. - 1,827 reviews - Albany, NY 12201
Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred....
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Nurse Case Manager I/II RN - Telework Potential - Multiple S...
Case Management, Utilization Management or Discharge Planning preferred. We are looking for licensed RN's who will provide specialized, custom case management...
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Case Management RN Needed
Supplemental Health Care - 222 reviews - Albany, NY 12208
$1,300 - $1,350 a week
NY RN license. 2 years recent Discharge Planning & Utilization Review experience, as Case Manager RN. Supplemental Health Care has an urgent need for a Case...
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Utilization Review Nurse

CDPHP - 20 reviews - Albany, NY
Minimum of two (2) years Utilization Management experience is preferred. The Utilization Review Nurse is responsible and accountable for coordinating requests...

Utilization Management Nurse Consultant

Aetna - 1,856 reviews - Albany, NY 12209 (Delaware Avenue area)
The Utilization Nurse Consultant is an integral member of the care management team. Position requires utilization of clinical skills to coordinate, document and...

Training Specialist/Sr (RN) - NY

Anthem, Inc. - 1,827 reviews - Albany, NY
Case management or utilization management a plus. Exercises classroom management including learner performance and escalates issues to Learning & Development...

DIR CLINICAL SERVICES

Beacon Health Options - 258 reviews - Latham, NY
Ensures all utilization management and intensive care management programs meet client, accreditation and regulatory standards....

Utilization Management RN

Ellis Hospital - 54 reviews - Schenectady, NY
Accurately documents utilization management activities per policy. The UM RN is responsible for preoperative, concurrent and retrospective reviews in accordance...

Clinical Manager- Schenectady, NY

Fresenius Medical Care - 1,849 reviews - Schenectady, NY
When required by the Area Manager, acts as the initial RN Case Manager for disease management patients. Maintains current knowledge of disease management...

Licensed Utilization Review Nurse I (Call Center Nurse)

Anthem, Inc. - 1,827 reviews - Albany, NY
Knowledge of the medical management process preferred. 2 years of clinical or utilization review experience; May access and consult with peer clinical reviewers...

UM Nurse Consultant

Aetna - 1,856 reviews - Albany, NY 12209 (Delaware Avenue area)
Requires an RN with unrestricted active license. Applying clinical expertise to assure appropriate benefit utilization *....

Nurse Case Manager I/II RN - Telework Potential - Multiple S...

Anthem, Inc. - 1,827 reviews - Albany, NY
Case Management, Utilization Management or Discharge Planning preferred. We are looking for licensed RN’s who will provide specialized, custom case management...

Behavioral Health Case Manager

CDPHP - 20 reviews - Albany, NY
A minimum 2 years clinical utilization management/case management experience required. Coordination may be referral or for those who meet criteria, episodic or...
RN - Utilization Management - FT EVE
RN- Utilization Management at St. Basic knowledge of the utilization management process. The Registered Professional Utilization Management Nurse (UM RN) is...
Sponsored by HEALTHeCAREERS Network
Clinical Documentation Specialist (RN)
Experience with criteria-based chart review, such as Case Management, Utilization Management, Managed care, Quality Improvement....
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