We have other current jobs related to this field that you can find below

  • Utilization Management Nurse Consultant

    2 weeks ago

    Albany, United States CVS Pharmacy Full time

    As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the approp Management, Nurse, Consultant, Healthcare, Clinical, Behavioral Health, Retail

  • Clinical Utilization Management Nurse Advisor

    6 hours ago

    Albany, New York, United States CVS Pharmacy Full time

    Position Overview:As a Clinical Utilization Management Nurse Advisor, your role will involve leveraging your clinical expertise to effectively coordinate, document, and communicate all facets of the utilization and benefit management program.Key Responsibilities:- Ensure that members receive appropriate healthcare services.- Utilize clinical judgment to...

  • Registered Nurse

    3 months ago

    Albany, United States Odle Management Full time

    Job DescriptionJob DescriptionOdle Management – A subsidiary of Eckerd ConnectsReports to the Health and Wellness Director (RN) and is a hourly, non-exempt position. Assists in the medical care and treatment of students. Demonstrates on-going commitment to preparing young people for the workforce by modeling, mentoring, and monitoring excellence in the...

  • Utility Worker

    3 months ago

    Albany, United States SGA Talent Part time $17 - $24

    Urgent Need (Weekend & Weekday Availability Needed)20,30, 40 hours per weekSGA Lists, LLC is a hospitality-focused staffing group based in Saratoga Springs, NY. We are seeking Utility workers, FSW workers, and grill cooks to join our team in Albany, NY, and help support our clients by providing excellent service to guests. The ideal candidate will be able to...

  • Sr. Utilization Lead

    4 weeks ago

    Albany, United States TenderHeart Health Outcomes Full time

    Job DescriptionJob DescriptionTenderheart Health Outcomes is the nation’s leading provider of Incontinence Management Services. They provide quality products and services to help individuals manage their incontinence at home and create healthcare savings in various managed care markets. Through Tenderheart’s value-based payment model with 5 national...

  • Utilization Review Nurse

    3 months ago

    Albany, United States Albany Medical Center Full time

    43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

  • Utilization Review Nurse

    2 weeks ago

    Albany, United States Albany Medical Center Full time

    43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

  • Utilization Review Nurse

    3 months ago

    Albany, United States Albany Medical Center Full time

    43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

  • Utilization Coordinator

    4 weeks ago

    Albany, United States TenderHeart Health Outcomes Full time

    Job DescriptionJob DescriptionTenderheart Health Outcomes is the nation’s leading provider of Incontinence Management Services. They provide quality products and services to help individuals manage their incontinence at home and create healthcare savings in various managed care markets. Through Tenderheart’s value-based payment model with 5 national...

  • Utilization Coordinator

    4 weeks ago

    Albany, United States TenderHeart Health Outcomes Full time

    Job DescriptionJob DescriptionTenderheart Health Outcomes is the nation’s leading provider of Incontinence Management Services. They provide quality products and services to help individuals manage their incontinence at home and create healthcare savings in various managed care markets. Through Tenderheart’s value-based payment model with 5 national...

  • Utility Worker

    3 months ago

    Albany, United States SGA Talent Part time $17 - $24

    Utility Workers - 2 Shifts Urgent Need (Weekend & Weekday Availability Needed)SGA Lists, LLC is a hospitality-focused staffing group based in Saratoga Springs, NY. We are seeking Utility workers and FSW workers to join our team in Albany, NY, and help support our clients by providing excellent service to guests. The ideal candidate will be able to...

  • Registered Nurse

    1 month ago

    Albany, United States Odle Management Full time

    Job DescriptionJob DescriptionOdle Management – A subsidiary of Eckerd ConnectsReports to the Health and Wellness Director (RN) and is a salaried exempt position. Assist in overseeing the medical care and treatment of students. Demonstrates on-going commitment to preparing young people for the workforce by modeling, mentoring, and monitoring excellence in...

  • Utility Worker

    3 months ago

    Albany, United States SGA Talent Part time $17

    About the JobUrgent - Fast Start 20, 30, 40 hours per week!SGA Lists, LLC is a hospitality-focused staffing group based in Saratoga Springs, NY. We are seeking Utility workers to join our team in Albany, NY and help support our clients by providing excellent service to guests. The ideal candidate will be able to demonstrate an enthusiastic attitude towards...

  • Utility Operations Specialist

    4 hours ago

    Albany, Oregon, United States PacifiCorp Full time

    Company Overview PacifiCorp is dedicated to fostering a culture centered around exceptional customer service, environmental stewardship, and a commitment to diversity, equity, and inclusion. Position Summary The Utility Specialist is a skilled employee tasked with performing duties as agreed upon by the Company and Union. Responsibilities typically include...

  • Sr. Utilization Lead

    4 weeks ago

    Albany, United States TenderHeart Health Outcomes Full time

    Job DescriptionJob DescriptionTenderheart Health Outcomes has received The Circle of Excellence award from NBRI for our commitment to the quality improvement process. This was related to our high Net Promoter Score. We received in 2022 one of the "Top Places to Work in Austin” by the Austin American Statesmen. We are also recognized as a Trusted Partner...

  • CTS Manager

    3 months ago

    Albany, United States Odle Management Full time

    Job DescriptionJob DescriptionOdle Management – A subsidiary of Eckerd ConnectsReports to the Center Director and is a salaried, exempt position. Responsible for organizing, planning, administering, and supervising the CTS Program through cohort enrollment and case management efforts. Demonstrates on-going commitment to preparing young people for the...

  • Water Utility Maintenance Technician

    2 hours ago

    Albany, New York, United States Government Jobs Full time

    Position Overview:The primary objective of this role is to manage and execute tasks related to the construction, upkeep, and repair of the water utility infrastructure.Key Responsibilities:Operate various types of machinery and equipment.Perform manual labor associated with the distribution and maintenance of water services.Engage in repair activities to...

  • Utility Tree Maintenance Trainee

    10 hours ago

    Albany, New York, United States Lewis Tree Service Full time

    Join Lewis Tree Service: As a proud employee-owned organization, we invite you to become part of a respected and innovative company that is a leader in utility vegetation management across North America. Our focus is not just on tree trimming; we are dedicated to nurturing the growth and success of our team members.What We Offer:A supportive environment...

  • Utilization Coordinator

    4 weeks ago

    Albany, United States TenderHeart Health Outcomes Full time

    Job DescriptionJob DescriptionTenderheart Health Outcomes has received The Circle of Excellence award from NBRI for our commitment to the quality improvement process. This was related to our high Net Promoter Score. We received in 2022 one of the "Top Places to Work in Austin” by the Austin American Statesmen. We are also recognized as a Trusted Partner...

  • Utilization Coordinator

    4 weeks ago

    Albany, United States TenderHeart Health Outcomes Full time

    Job DescriptionJob DescriptionTenderheart Health Outcomes has received The Circle of Excellence award from NBRI for our commitment to the quality improvement process. This was related to our high Net Promoter Score. We received in 2022 one of the "Top Places to Work in Austin” by the Austin American Statesmen. We are also recognized as a Trusted Partner...

RN Utilization Management

2 months ago

Albany, United States Trinity Health Full time

Employment Type: Full time Shift: Evening Shift Description: St. Peter's Hospital in Albany, NY is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr shifts The team is willing to help train the right candidate as long as they meet the minimum requirements and have the desire and ability to learn and grow into this wonderful opportunity to progress in their nursing career. We at St. Peter’s Health Partners recognize that nursing is one of the most challenging careers and the most rewarding. We work with nurses to ensure that their professional experiences meet the expectations they had when they chose nursing. We recognize the crucial role you play in the care of every patient treated and we have worked hard to ensure that you find the professional culture, the career support, medical resources and the career opportunities you’re seeking. St. Peter’s Hospital is a member of Trinity Health. Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. The selected candidate will: Be responsible for the utilization management, both concurrent and retroactive for inpatient and outpatient services in accordance with the utilization program which meets the requirements of JCAHO and third party payor contracts. Be responsible for the length of stay and level of care to provide effective and efficient health care services that best serve the needs of the patient. Work within and contribute to an environment where the mission is actualized, patient focused outcomes are achieved and high quality professional practice is realized. Minimum requirements: Current and valid NYS RN license Bachelor of Science in nursing, or willingness to purse defined plan for matriculation in program demonstrated by ongoing course work each semester BLS certification 2 years of experience in acute setting or one year in community health Must have some week day availability to orient Preferred requirements: Discharge planning and community resource knowledge Basic knowledge of the utilization management process Working knowledge of recognized industry clinical standards, i.e. Interqual, Milliman Care Guidelines. Maintain the highest level of customer service while completing day to day duties and responsibilities Critical thinking skills to problem solve Excellent time management and organizational skills High level of efficiency to communicate in a fast pace work environment Engage within a team setting to help promote a strong team culture Passion to learn, grow and develop in the nursing field Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran