- 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
- Elevance Health (East Syracuse, NY)
- ** Clinical Review Nurse I** **National Government Services** is a proud member of Elevance Health's family of brands. We administer government contracts for ... 5 pm EST or CST. Hours are flexible.** The ** Clinical Review Nurse I** is...reviewing and making medical determinations as to whether a prior authorization request meets the benefits the member carries.… 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
- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Utilization Review Nurse (URN) performs clinical review to ... nurse (RN) required. + Two (2) years of clinical experience as an RN in a varied ...Provide High Quality, Professional Utilization Management Services: (Medical necessity review for prior authorization, pre-certification, concurrent, as… 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
- Bassett Healthcare (Cooperstown, NY)
- …to achieve successful surgical outcomes. We desire RNs who demonstrate exceptional clinical skills, attention to detail, and the ability to perform well in ... specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Operating Room / Perioperative Services unit… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse IV, Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- Veterans Affairs, Veterans Health Administration (Bath, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... as-needed basis until positions are filled. The Geriatrics Community Living Center Nurse Practitioner provides post-acute and long-term care to adults with have… more
- University of Rochester (Rochester, NY)
- …functions. Qualifications: Experience: Prefer 3-5 years of experience, as a registered nurse prior to completing a Master's program is desired. ... Family Nurse Practitioner assumes direct patient care, coordination of clinical services, assistance with team functions, and assurance of continuity of care.… 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
- 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
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- Summary The Nurse Manager functions as a clinical ...Nursing may have opportunity to become registered as a nurse with a state licensing board prior ... by collaborating with members of the interdisciplinary team. Responsibilities The Nurse Manager (NM) is the designated first-line supervisory authority and is… 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
- Arnot Health (Elmira, NY)
- …for professional/practice development. + Completes employee evaluations within the month of review date. Standard III. Education The Nurse Manager acquires and ... Meet Arnot Health employment criteria. Excellent communication and writing ability. EXPERIENCE: Prior proven experience and expertise in clinical area relevant… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Bassett Healthcare (Herkimer, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse Acute Care is accountable for the delivery of safe patient care utilizing ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback Analyzes assessment data to… more
- Bassett Healthcare (Little Falls, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care ... and job description is only appropriate for a new nurse in the first year of practice, as support...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes… 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 (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