Top 14 Utilization review nurse Jobs in Yaphank, Ny

Care Manager ( Registered Nurse / RN )
Catholic Health —Port Jefferson, NY
- $50.38 - $69.27 an hour
- Nursing
- RN License
- Hospital
- Health insurance
- Tuition reimbursement
7d
Hub Manager - Care Coordination ( RN ) Per Diem
Catholic Health —Port Jefferson, NY
- $48.67 - $69.00 an hour
- Per diem
- Nursing
- RN License
- Hospital
Utilization Review and Appeals Case Manager
Stony Brook University Hospital —Stony Brook, NY
- $89,760 - $127,975 a year
- Online Application
- Bilingual
- Nursing
- RN License
PMHNP - Psychiatric Mental Health Nurse Practitioner Substance Abuse/Mental Health
Integrity Treatment Partners —Bay Shore, NY
- $90 - $110 an hour
- Part-time
- Experience working with individuals with developmental disabilities
- Nursing
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
12d
Home Health Clinical Manager
Centerwell —Riverhead, NY
- $92,600 - $127,400 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays

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CHS Utilization and Appeals Manager
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Required to pursue ongoing education, certification and self development to remain current with industry standards and business objectives related to…
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Care Manager ( Registered Nurse / RN )

Catholic Health -
Port Jefferson, NY

Apply Now

Job Details

$50.38 - $69.27 an hour
7 days ago

Benefits

Health insurance
Tuition reimbursement
Pension plan

Qualifications

Inpatient experience
BLS Certification
Acute care facility experience
Bachelor of Science in Nursing
Bachelor's degree in nursing

Full Job Description

Overview:

Located in Port Jefferson, the St. Charles Campus of Good Samaritan University Hospital combines advanced clinical expertise with a longstanding commitment to compassionate care. The campus has earned both a Leapfrog Hospital Safety Grade “A” and a CMS 5-Star Quality Rating and is known for its excellence in Maternal/Child Services, Orthopedics, Rehabilitation, Bariatric Surgery, and Emergency Care.

A leader in acute inpatient rehabilitation on Long Island, St. Charles Campus provides specialized care for patients recovering from conditions such as stroke, traumatic brain injury, spinal cord injury, and orthopedic injuries. As part of Catholic Health, the campus is committed to delivering evidence-based, patient-centered care that improves outcomes and strengthens the communities it serves.

Job Details:

Our Care Manager (RN) will:

Assess, plan, implement, monitor and evaluate options and services to effect an appropriate individualized plan of care for patients across the acute care continuum.
Perform required activities for utilization management, PRI assessment and completion, transition planning, and identification of actual or potential quality/risk indicators, in compliance with regulations and organizational goals.
Perform as an integral part of the interdisciplinary team to effectively ensure optimal patient outcomes and length of stay efficiency.
Collaborate and coordinate with multidisciplinary teams to facilitate a safe quality experience for patients though the continuum of care.
Be required to pursue ongoing education, certification and self-development to remain current with industry standards and business objectives related to Care Management as appropriate.
Have knowledge of The Joint Commission standards, and Federal, State and PRO regulations preferred.
Advocate for and build meaningful relationships with patients and their loved ones through safety intervention, emotional support, and education.

What you’ll bring:

Passion for Care Management
3+ Years acute care clinical RN experience required
Prior RN experience in Utilization Management, Performance Improvement, Transition Planning and/or Care Management experience in an acute hospital or related managed care setting preferred
Education: Graduate of an accredited School of Nursing required
- Bachelor of Science in Nursing (BSN) degree required
- Internal applicants currently in a Care Manager position who are enrolled in a BSN program may apply
Licensure: New York Registered Nurse (RN) License & Registration
Certification: Basic Life Support (BLS) certification is required.
Preferred Certifications: PRI Certification

Posted Salary Range: USD $50.38 - USD $69.27 /Hr. :

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

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Refine Your Search

utilization review nurse jobs in yaphank, ny

Care Manager ( Registered Nurse / RN )

Hub Manager - Care Coordination ( RN ) Per Diem

Utilization Review and Appeals Case Manager

PMHNP - Psychiatric Mental Health Nurse Practitioner Substance Abuse/Mental Health

Home Health Clinical Manager

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