- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The ... Utilization Review Specialist coordinates scheduling of all...and operating room procedures. Seeks the assistance of the Nurse Manager in identifying cases, which require pre admission… more
- VNS Health (Manhattan, NY)
- …CEU credits, and advancement opportunities What You Will Do + Reviews specific utilization issues or requests with Clinical Review team, focusing on problem ... Manages and evaluates staff in delivery and coordination of utilization management review services in compliance with...and current registration to practice as a registered professional nurse in New York State Required + Valid driver's… more
- Mount Sinai Health System (Manhattan, 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
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- Summary The CLC Registered Nurse is responsible and accountable for all elements of the nursing process when providing and/or supervising direct resident care. The ... the interdisciplinary team. Responsibilities The Community Living Center (CLC) Registered Nurse (RN) is responsible for providing competent, evidence-based care to… more
- Hackensack Meridian Health (Maywood, NJ)
- …duties with attention to detail and in a timely manner. + Collaborates with Utilization Review Nurses. + Provides Important Message, ABN, Observation letter as ... serve as a leader of positive change. The **Registered Nurse Care Manager** is a member of the healthcare...patient management. + Knowledge of health care delivery system, utilization and review and case review… more
- City of New York (New York, NY)
- …CAS works with other programs at HRA and with other governmental and non -governmental service providers to create new programs and to integrate and refine existing ... CAS Visiting Psychiatric Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision of the Medical… more
- Wellpath (Valhalla, NY)
- …care through adherence to policies and procedures for admission and transfer, utilization review , and referrals. + Assumes responsibility and accountability for ... Every day we have the distinct honor and responsibility to show up with non -judgmental compassion to provide hope and healing to those who need it most. For… more
- Mount Sinai Health System (New York, NY)
- …The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse , Physician Assistant, or Nurse Practitioner, who manages the 24 ... and supporting patient-centered care. **Qualifications** * Must be a Licensed Registered Nurse , Physician Assistant or Nurse Practitioner Registered Nurse … more
- Mount Sinai Health System (New York, NY)
- …the Nursing Department. The Staffing Office collaborates with Nursing Leadership to review and develop schedules based on agreed upon staffing guidelines, models and ... health care experience + 2+ years related experience, required with Associates degree Non -Bargaining Unit, M71 - Nursing Staff Office - MSH, Mount Sinai Hospital… more
- VNS Health (Manhattan, NY)
- …others as applicable. * Evaluates branch operations; analyzes trends in volume, utilization , and other business drivers to understand the impact these factors have ... per action plans. * Audits and approves visit and non -visit payroll activities in HCHB; creates payroll batches each...for the visit. * Leads weekly IDT meetings to review /discuss patient status/issues. Determines if patients that are planned… more
- Mount Sinai Health System (New York, NY)
- …to influence other services by focusing on patient processes. 10.Develops and implements Utilization Review (UR) based on internal data collection, data received ... 5 years case management and 6 years as clinical nurse . Previous supervisory experience in case management or related...York State + Certification in case management is preferred Non -Bargaining Unit, BEZ - Utilization Management -… more
- Molina Healthcare (Yonkers, NY)
- …staffing and production levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals and Grievances experience and a...NCQA, CMS, State and Federal requirements. May also perform non -clinical system and process audits, as needed. + Audits… more
- Mount Sinai Health System (New York, NY)
- …records, internal and external regulatory and survey requirements. The Clinical Nurse Manager collaborates with multiple professionals to support and coordinate the ... & family as well as the organization. The Clinical Nurse Manager is the Nursing Leader of their designated...communication. + Critical thinking and organizational skills are essential. Non -Bargaining Unit, LAI - HSO Pharmacy Home Infusion- STL,… more
- Richmond Community Services (Mount Kisco, NY)
- …of "reportable" for the Justice Center or DDRO. Maintains a file of non -reportable complaints with supporting rationale. 3. Oversees and ensures proper entry into ... necessary reviews are completed. 5. Collaborates with Program Administrators to ensure the timely review of all incidents that do not rise to the level of reportable… more
- Calvary Hospital (Bronx, NY)
- …responsible for the coordination of the hospital-wide functions of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the ... and their families. Through a caring, compassionate, philosophy of non -abandonment, the hospice provides a full spectrum of palliative...of five (5) years of experience in Case Management, Utilization Review or Discharge Planning required. +… more
- New York State Civil Service (Goshen, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... health and substance use screens, youth and collateral interviews, and record review to develop a psychosocial assessment and subsequent mental health treatment… more
- New York State Civil Service (Thiells, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... Family Care Providers are trained on the plans.* Present behavior plans to review committees such as the Human Rights Committee (HRC) and Informed Consent Committees… more
- New York State Civil Service (West Haverstraw, NY)
- …but not limited to, Medical Exec, HQM, Patient Experience, Strategic Planning, Utilization Review and other duties as required. Minimum Qualifications OC ... Qualifications:Possession of a license and current registration as a registered professional nurse in New York State; a bachelor's degree in nursing; and three… more
- BAYADA Home Health Care (Elmsford, NY)
- …+ Experience developing performance improvement plans, field staff orientation, clinical chart review , and utilization review reporting + Strong assessment ... are Equal Opportunity Employers. All employment decisions are made on a non -discriminatory basis without regard to sex, race, color, age, disability, pregnancy or… more
- BAYADA Home Health Care (New York, NY)
- …+ Experience developing performance improvement plans, field staff orientation, clinical chart review , and utilization review reporting + Strong assessment ... the state of New York in good standing + SIM educator responsibilities for Nurse Residency would be required + Trach/vent experience required + Ability to travel to… more