- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... within New York State.** **8:30am-5pm, Monday-Friday.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and… more
- YAI (Queens, NY)
- …disabilities and their families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet ... on a weekly basis for supervision to review duties and responsibilities. + Accountable for the day-to-day...and followed as directed. + Assume duties of the nurse supervisor when needed and provide coverage for and… more
- Northwell Health (Melville, NY)
- … in New York State required, plus specialized certifications as needed. + Prior experience in Case Management, Utilization Review , and Appeals/Denials, highly ... and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management… more
- VNS Health (Manhattan, NY)
- …three years clinical experience in community health care required Prior clinical management, utilization management or care management experience preferred ... OverviewOversees the completion and approval of all clinical utilization documentation, including Start of Care, Re-certification, Resumption of Care, Follow up… more
- City of New York (New York, NY)
- …level of functioning and self-sufficiency by providing comprehensive, integrated, individualized clinical and support services. CAS works with other programs at HRA ... Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision...1. Obtain referrals and schedule for evaluations from the Clinical Intake Unit for assignment of cases. Coordinate time… more
- Children's Aid (Manhattan, NY)
- …* On a monthly basis review medication inventory and provide a report to Nurse Clinical Manager. * Perform Visual Exams per protocol for children in foster ... Street) $70,000 - $75,000 **Position Summary: **Under the general supervision of the Clinical Nurse Manager/Registered Nurse , and the Community Health Center… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The nurse anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending Anesthesiologist, the ... of Science degree in NursingMasters Degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse… more
- Molina Healthcare (New York, NY)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The certified registered nurse anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending ... of Science degree in Nursing Masters Degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse … more
- Planned Parenthood of Greater New York (New York, NY)
- …compassionate, nonjudgmental abortion services. When you join PPGNY as a Registered Charge Nurse , you will obtain and assess patient's medical history and counsel on ... of Licensed Practical Nursing and Support Staff. The charge nurse distributes the work of the unit in a...assumes charge responsibility under the direction of the Director, Clinical /Surgical Services Direct Clinical Care (100%) +… more
- Elevance Health (New Hyde Park, NY)
- …platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. ** Nurse Reviewer ... the hours from 9:00 am - 6:00 pm. Rotating weekend shifts. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network and… more
- Weill Cornell Medical College (New York, NY)
- …in daily operations. **Job Responsibilities** + Responsible for maintaining department's Clinical Policies and Procedures manual. Develop, review , and revise ... Title: Nurse Administrator-OB/GYN Location: Upper East Side Org Unit:...Degree in Nursing **Experience** Minimum of 5 years of clinical experience. Prior experience in supervisory role… more
- VNS Health (Manhattan, NY)
- … review of all components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical ... team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state… more
- City of New York (New York, NY)
- …or people who are not in care. The ACE Unit is seeking a Nurse Practitioner, to work with Public Health Advisors in providing HIV-related education and consultation ... home visits and provide in-home medical consultation for clients. Review complex and contradictory HIV test results and work...and current registration to practice as a Registered Professional Nurse LICENSE MUST BE MAINTAINED FOR THE DURATION OF… more
- Mount Sinai Health System (New York, NY)
- **Job Description** An advanced practice nurse , or Certified Registered Practice Nurse (CRNA). Within this role, under the direct supervision of an Attending ... NYS RN with Masters Degree or Doctorate degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse … more
- Mount Sinai Health System (Jamaica, NY)
- …of at least 18 months approved by the American Association of Nurse Anesthetists. -Satisfactory completion of the qualifying examination of the American Association ... of Nurse Anesthetists and recognition by the State Board of...skills. **Responsibilities** -Makes preoperative visit to examine the patient, review medical history and review the patient's… more
- YAI (Bronx, NY)
- …to live, love, work, and learn . We are currently seeking a Registered Nurse Supervisor in our residential system. The ideal candidate will have experience in the ... of direct care staff in the monitoring of the medical systems. Additionally, the nurse will participate in team meetings and provide medically related in services to… more
- Mount Sinai Health System (New York, NY)
- …Advancing medicine. Healing made personal. **_Roles & Responsibilities:_** An advanced practice nurse , or Certified Registered Practice Nurse (CRNA). Within this ... anesthesia, monitoring of the patient's physiological condition and performance of clinical intervention as necessary, directed by attending anesthesiologist 2. In… more
- Touro University (Valhalla, NY)
- Overview We are seeking a Per Diem Nurse Practitioner to join our existing pool of Nurses in Health Services. Responsibilities + Provide walk-in care for general ... of emergencies. + Prescribe and order lab tests/x rays when needed. + Review health records of incoming students and provide notifications of deficiencies in health… more
- Fresenius Medical Center (Bronx, NY)
- …Functions as part of the hemodialysis health care team as a Team Leader Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... techniques and adherence to facility policy and procedures. + Assists Clinical Manager with staff performance evaluations. + Participates in staff training… more