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Utilization Management Director
Rochester, NY within
RN / Registered Nurse / Utilization Review - will train...
Med-Scribe, Inc. - Rochester, NY, USA
This is a direct hire opportunity with a managed care firm serving the underserved. Ready for a ... RN Utilization Review #040917 We have an immediate need for experienced RNs for Utilizatio...
CareerBuilder - 6 Days ago
Registered Nurse (RN) - Remote Clinical Care Manager - ...
Aetna Inc. - Rochester, NY, USA
Analyzes all utilization, self-report and clinical data available to consolidate information and ... health or previous Case Management experience required. * Requires ability to document&nb...
StartWire - 2 Days ago
Assistant Director of Health Home Care Management
University of Rochester - Rochester, NY, USA
... utilization of health home within our enterprise while developing a robust and comprehensive administrative structure to support our existing Health Home Care Manager Providers (UR Medicine H...
StartWire - 13 Days ago
RN (Registered Nurse) Case Mgr. - Hospice/Palliative Ca...
Lifetime Care - Rochester, NY, USA
Summary: This position is responsible for direct nursing care. The RN is responsible for the ... utilization of services. Essential Responsibilities/Accountabilities * Systematically an...
StartWire - 70 Days ago
WOCN RN
Visiting Nurse Service - Webster, NY, USA
VNS has an advanced electronic wound care management system that enables the WOCN to monitor and ... resources utilization. ● Provides leadership to visiting staff to ensure appropriate ...
CareerBuilder - 83 Days ago
Nurse
inVentiv Health - Rochester, NY, USA
... how to manage priorities, and move seamlessly from one challenge to the next. You get people to ... Responsibilities In this role, you'll provide clinical expertise to patients...
MyJobHelper - 5 Days ago
RN (Registered Nurse) Manager, Nursing Team - SNF Hospi...
Lifetime Care - Rochester, NY, USA
Organizational/Service Management * Works with other Administrative staff to develop appropriate ... Responsible for ensuring that appropriate utilization guidelines and practice standa...
StartWire - 56 Days ago
Nurse
University of Rochester - Rochester, NY, USA
... the direct care providers; interacting with involved departments to negotiate and expedite ... Utilization Management, Home Health Care, Care Team and family to facilitate timely di...
MyJobHelper - 105 Days ago
Nurse
Centene Corporation - Rochester, NY, USA
... Director with recommendations for other determinations + Complete medical necessity and level of ... utilization and medical management processes + Provide clinical knowledge and ac...
MyJobHelper - 105 Days ago
Contract Negotiation Dir I
Excellus BlueCross BlueShield - Rochester, NY, USA
The two levels of Contract Negotiation Director are differentiated by the size and complexity of ... as a liaison with Utilization Management, Care Management and Actuarial/finance to e...
StartWire - 201 Days ago
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