- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: Utilization ... interdepartmental quality improvement activities such as development and engagement, clinical review , clinical risk management, and patient satisfaction. Serves as a… more
- A-Line Staffing Solutions (New York, NY)
- …Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse ... Case Manager, Case Management, InterQual, Medicare, Medicaid, CMS Guidelines, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse… more
- Vocational Instruction Project Community Services Inc. (Bronx, NY)
- Description: Position Title: Registered Nurse Health ServicePosition Reports To: Program Supervisor and Medical DirectorDuties and Tasks: * Prepares patients for ... the board. * Support the quality assurance director with review of patient charts and reports. * Assist with...orders and logs, consent forms.Qualifications: * Current NYS Registered Nurse * Current Infection Control Certificate * Current BCLS… more
- United Staffing Solutions (New York, NY)
- …the classroom setting work closely with school staff including the school nurse encourage students with academics, productivity in a structured learning environment ... review classwork material and assist students in all areas ensure student safety during school hours we offer weekly Board of Education in-house orientation with our… more
- VNS Health (Manhattan, NY)
- …the community's needs.Oversees the implementation and monitoring of utilization review and quality management procedures, while also conducting specialized studies ... through comprehensive orientation and ongoing education. Oversees clinical peer review , and manages the recruitment, education, training, and orientation of… more
- Engage Partners, Inc. (Queens, NY)
- …test data and scenarios, coordinate efforts with others as needed and review test results with department leadership. Perform analysis related to understanding, ... software troubleshooting. Participates in IS on call rotation. Collaborates with Nurse Informaticists to optimize clinical system processes by creating workflow… more
- 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
- Centers Plan for Healthy Living (Queens, NY)
- Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ultimate healthcare ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who… 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
- Hackensack Meridian Health (Hackensack, NJ)
- …fellows, pediatric residents, neonatal PAs and neonatal nurse practitioners, nurses, dieticians, respiratory therapists, social workers, ... is at least 1 shift every 2 weeks** **The Advanced Practice Nurse or Physician Assistant performs the role utilizing the patient-centered coordinated care… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Neonatalogy Department at Hackensack University Medical Center The Advanced Practice Nurse or Physician Assistant performs the role utilizing the patient-centered ... practice, consultation/collaboration, coaching/guiding, research, and ethical decision making. For Nurse Practitioners - NNP with experience in a Level III-IV… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Advanced Practice Nurse II performs the role utilizing the patient-centered coordinated care model demonstrated through the following competencies: ... practice, consultation/collaboration, coaching/guiding, research, and ethical decision making. Fulltime Nurse Practitioner Psych posiiton with Hackensack UMC. **Responsibilities** Leadership… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** ** Nurse Practitioner Cancer Center Outpatient Lymphoma** **Oncology experience required. Lymphoma experience preferred** **M-F Day position** **The John ... Theurer Cancer Center Nurse Practitioner performs the role utilizing the patient-centered coordinated...practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Hackensack University Medical Center Night Shift RRT Nurse Practitioner or Physician Assistant performs the role utilizing the patient-centered ... practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum...staff leaders to support nursing-led protocols to enhance the nurse 's ability to function at their highest level of… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Hackensack University Medical Center Critical Care Part-Time Nurse Practitioner or Physician Assistant performs the role utilizing the ... of specialty practice.** **5. Participates in APRN interviewing, credentialing, and peer review process as requested.** **6. Participates in a minimum of one… more
- Hackensack Meridian Health (Hackensack, NJ)
- …of specialty practice. 5. Participates in APN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional ... staff leaders to support nursing-led protocols to enhance the nurse ?s ability to function at their highest level of...co- investigator. 4. Acts as a mentor and or reviewer for research proposals. 5. Disseminates research findings to… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** **Job Title: Nurse Practitioner-Inflammatory Bowel Disease-Mount Sinai Hospital-Full Time-Day** A nurse practitioner (NP) as described in ... 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
