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Nursing Jobs in New York

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Position Purpose: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality...

Roc, New York 4 weeks 1 day ago (January 13, 2016)

Position Purpose: Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk or having been denied services to identify needs and goals to achieve...

Rochester, New York 1 week 6 days ago (January 29, 2016)

Position Purpose: • Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical...

Rochester, New York 3 days 19 hours ago (February 8, 2016)

Position Purpose: Provide technical assistance to network providers to redesign practice operations in alignment with Health Home standards. Provide ongoing technical assistance to improve provider Health Home performance • Implement...

Rochester, New York 1 week 6 days ago (January 29, 2016)

Position Purpose: Oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination. Responsible for clinical initiatives and oversight to ensure...

Rochester, New York 4 weeks 1 day ago (January 13, 2016)

Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial evaluations, brief...

Rochester, New York 4 weeks 1 day ago (January 13, 2016)

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. • Provides medical leadership of all for utilization management,...

Roc, New York 4 weeks 1 day ago (January 13, 2016)

Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. • Perform telephonic review of prior...

Rochester, New York 3 days 19 hours ago (February 8, 2016)

Position Purpose: Manage clinical services to include management of clinical services, marketing of clinical services and supervision of clinical staff. • Manage clinical services including oversight of clinical policies and procedures,...

Rochester, New York 4 weeks 1 day ago (January 13, 2016)

Position Purpose: Supervise and facilitate the daily operations of the clinical training activities, including training assessment and evaluation, material development, marketing of the clinical training services, training facilitation and...

Rochester, New York 2 weeks 15 hours ago (January 28, 2016)