- Elevance Health (Latham, NY)
- …an expanding set of clinical domains, including radiology, cardiology and oncology. ** Nurse Reviewer I** **Location:** The selected candidates must reside in ... 9:00 am - 6:00 pm. Rotating weekend shifts. The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Nuvance Health (Poughkeepsie, NY)
- …the support of a thorough orientation program. *Purpose: *The Quality Systems Reviewer assists in the implementation of the Agencyi? 1/2s Performance Improvement, ... dashboard on quality and process measures .Participates in quarterly Utilization Review . 7.Prepares reports to DQS and Clinical Team as appropriate. 8.Provides… more
- SUNY Upstate Medical University (Syracuse, NY)
- …the Patient Relations department with patient complaints that require quality review and/or Risk oversight. Minimum Qualifications: Registered Nurse , NYS ... Job Summary: High-level clinical review of patients admitted to the University Hospital...risk identification and referral to clinical departments for ongoing review of quality improvement focused on the support of… more
- Elevance Health (East Syracuse, NY)
- **Clinical Review Nurse I - Medicare Part B**...pm EST or CST. Hours are flexible.** The **Clinical Nurse Reviewer I** is responsible for reviewing and ... procedures is highly desired but not required. + Prior experience with claim review of Medicare helpful. + Proficient in basic math calculations with percentages. +… more
- FlexStaff (Uniondale, NY)
- **Req Number** 147980 JOB PURPOSE: Under the direction of the Senior Director of Clinical Review , the Clinical Review Nurse is responsible for complying with ... Director of Clinical Review will monitor the Clinical Review Nurse 's activities and outcomes, ensuring compliance with established regulatory and contractual… 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 determine ... Nursing required; Bachelor's degree preferred. Current, active, unrestricted, and licensed registered nurse (RN) required. + Two (2) years of clinical experience as… more
- Glens Falls Hospital (Glens Falls, NY)
- …can be foundhere. **Job:** **Nursing - Case Management* **Title:** *RN - Utilization Review Nurse * **Location:** *NY-Glens Falls* **Requisition ID:** *2410V* ... Fulfill Your Potential* *Responsibilities* * Conducts concurrent and retrospective review (s) utilizing InterQual (IQ) medical necessity criteria to monitor… more
- Centene Corporation (New York, NY)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… 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
- Albany Medical Center (Albany, NY)
- …Work Shift: Float Pool_5_Day (United States of America) The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of ... including during transitions within the acute care stay. The Registered Professional Nurse is responsible for the delivery and coordination of patient care provided… more
- Bassett Healthcare (Cooperstown, NY)
- …discuss specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Emergency Department is accountable for the ... needs. The RN contributes to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate for a new nurse… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Nurse Practitioner-Outpatient Multiple Myeloma/Oncology - Mount Sinai Hospital - Full Time - Day** A nurse practitioner (NP) as ... 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
- 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
- Mount Sinai Health System (New York, NY)
- **Job Description** A Nurse Practitioner is certified under section 6910 of the New York State Education Law and licensed as a registered nurse . A nurse ... continuum. **Qualifications** Master's degree program designed to prepare a registered nurse to provide acute/primary health care services or the successful… more
- 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
- Bassett Healthcare (Cooperstown, NY)
- …the best quality of life possible. What you'll do The Licensed Practical Nurse - Procedure Room provides direct and indirect patient care, under the supervision ... of the department manager and the clinical direction of the Registered Professional Nurse , Physician or Surgical PA, provides technical and clinical support to the… 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
- Mount Sinai Health System (Yonkers, NY)
- **Job Description** **Job Title - Offsite Nurse Practitioner- Neurology Yonkers - Mount Sinai Hospital- Full Time- Day** A nurse practitioner is certified under ... York State Education Law and licensed as a registered nurse . A nurse practitioner provides acute/primary health...in the specific clinical area and performs a periodic review of the collaborative agreement. 2. Assesses the health… more
- Bassett Healthcare (Cobleskill, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, 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
- 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 care. * ... Licensed Practical Nurse 12/11/24Full Time--Manhattan Job ID: 007369 Description: Dunlevy...required by the RN. * On a bi-monthly basis review vaccine inventory and order vaccines accordingly. * Routinely… more