- Brighton Health Plan Solutions, LLC (New York, NY)
- …Health and Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, ... and the evaluation of coverage under the Plan. The Nurse Case Reviewer reports to the Casualty...services for timely return to work. + Provides utilization review , continued stay reviews, and utilization management based on… more
- Zelis (Morristown, NJ)
- Position Overview: The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical ... billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical… more
- City of New York (New York, NY)
- …for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer , who will: - Conduct medical reviews and analyses claims to calculate injury related ... and current registration to practice as a Registered Professional Nurse . This license must be maintained for the duration...three years of full-time satisfactory experience as a Registered Nurse , two of which must have been in a… more
- Centene Corporation (New York, NY)
- …criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care + ... care to members + Provides feedback on opportunities to improve the authorization review process for members + Performs other duties as assigned + Complies with… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** **Job Title: Nurse Practitioner-Neurosurgery-Mount Sinai Hospital- Full Time-Day** A nurse practitioner (NP) as described in Title VIII, ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** A Registered Nurse Practitioner engaged to work on an as-needed basis for patient care delivery. **RESPONSIBILITIES** Principal Duties and ... in the specific clinical area and performs a periodic review of the collaborative agreement. b. Assesses the health...York State which took effect April 1, 1989, authorizes Nurse Practitioners certified by the State Education Department to… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... clinical nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and prescribe for… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. 12. Performs a patient record review with the collaborating physician in a timely fashion… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** **3004606:** Staff Nurse - CVI - The Mount Sinai Hospital - Full Time Day **Strength Through Diversity** Ground breaking science. Advancing ... medicine. Healing made personal **RESPONSIBILITIES** **_Roles & Responsibilities:_** The Clinical Nurse is a Registered Professional Nurse who provides safe,… more
- The Mount Sinai Health System (New York, NY)
- …Ground breaking science. Advancing medicine. Healing made personal. **Job Title: Clinical Nurse (Float Pool) - Mount Sinai Hospital, Full Time Day Shift** The ... Clinical Nurse for the Mount Sinai nursing float pool is...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2.… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... HELP, AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patients… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. + Considers the patients… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** Title: Staff Nurse - Step Down Float Pool- MSH- Full Time Nights Strength Through Diversity Ground breaking science. Advancing medicine. Healing ... made personal. Roles & Responsibilities: The Clinical Nurse for the Mount Sinai nursing float pool is...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 1.… more
- The Mount Sinai Health System (New York, NY)
- …medicine. Healing made personal. Dept Name: Med/Surg Float Team Job Title: Clinical Nurse Roles & Responsibilities: The Clinical Nurse is a Registered ... of Care) AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patient's… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. + Considers the patient's… more
- Penn Medicine (Plainsboro, NJ)
- …our future each day. Are you living your life's work? Summary: + The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new-to-practice RN or RN with ... practice within the organizational professional practice model. + The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate concepts, knowledge,… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** The Senior Clinical Nurse is a Registered Professional Nurse with broad knowledge and skills who participates in performance improvement ... of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2. Considers the patients… more
- City of New York (New York, NY)
- …CAS Visiting Psychiatric Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision of the Medical ... for independent judgement within NYS licensing guidelines, the VPS Psychiatric Nurse Practitioner is responsible for performing psychiatric evaluations of clients at… more
- Zufall Health Center (Somerville, NJ)
- Registered Nurse Case Manager Somerville, NJ 08876, USA Req...in person and over the phone to remind and review their plan of care and progress towards their ... Summary The goal of the Medical Case Manager (MCM) Nurse is to provide a wide range of client-centered...+ Collect data and prepare reports and registries for review by the QA/PI Committee. + Ensure timely documentation… more