- Centene Corporation (New York, NY)
- …**Must have a New York State license or identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review ... and determination. Completes data entry and correspondence as necessary for each review . + Conducts rate negotiation with non -network providers, utilizing… more
- New York State Civil Service (Bronx, NY)
- …to conduct a non -competitive promotion examination for the position of Utilization Review Coordinator at New York State Psychiatric Institute. Permanent ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), NYC Children's Center, Bronx Campus, P25875 Occupational Category… more
- 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
- 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
- Northwell Health (Bay Shore, NY)
- …of patients admitted to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases with the Supervisor and ... retrospective reviews as required. + * Participates in the maintenance of Utilization Management, Discharge Planning and Case Management statistics as required. + *… more
- Bassett Healthcare (Little Falls, 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
- Bassett Healthcare (Cooperstown, 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
- 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
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Dialysis Registered Nurse (RN) is a professional nurse with...education, orientation, competencies and providing quality improvement and outcomes utilization . Practice includes directing other providers. Partners with the… more
- YesCare Corp (Coxsackie, NY)
- …measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate ... \#INDT1J **Responsibilities** Below is a list of your responsibilities as a ** Nurse Practitioner (NP/ARNP)** withYesCare: + **For this New York United States-based… more
- Arc Jefferson - St. Lawrence (Canton, NY)
- Registered Nurse (RN) - St. Lawrence County Job Details Job Location St.Lawrence County - Canton, NY Salary Range $32.00 - $42.88 Hourly Description Sign on bonus - ... - Licensed and registered with NYS Education Department as a Registered Professional Nurse . Minimum Qualifications -Will accept GN (Graduated Nurse ) with the… more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management. Location: Vassar Brothers Medical Center Work Type: ... locations, including The Heart Center, a leading provider of cardiology care. Non -acute care is offered through various affiliates, Position Summary: Under the… more
- Wellpath (New City, NY)
- …and procedures for infirmary admissions, emergency room transfers, and the utilization review process for specialty referrals while maintaining responsibility ... the distinct honor and responsibility to show up with non -judgmental compassion to provide hope and healing to those...of care support. **How you make a difference** The Nurse Practitioner provides a full range of medical services… more
- Elderwood (Buffalo, NY)
- …hearing exams, eye exams, and vaccinations. + Identify members who are non -compliant with NYS quality indicators and prioritize them for targeted interventions. + ... Develop and implement strategies to engage non -compliant members and address barriers to compliance. + Develop...and present regular reports on quality, population health, and utilization management metrics. + Serve as a liaison between… more
- Nuvance Health (Carmel, NY)
- …years RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. ... locations, including The Heart Center, a leading provider of cardiology care. Non -acute care is offered through various affiliates, Education: BSN / BSW preferred… more
- Guthrie (Cortland, NY)
- Position Summary: This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for ... in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to...in an acute care setting with strong case management, utilization review and payer knowledge. Case Management… more
- Ellis Medicine (Schenectady, NY)
- …services provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home… 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