- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Centene Corporation (New York, NY)
- …be 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, ... member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies… more
- City of New York (New York, NY)
- …equity-driven, engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES ... is now available within the Division of Administration, Offices of Clinical Quality Management and Improvement/Employees' Health Program. We're building an Employee… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2....and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse -MedSurge-Ortho-8E-Mount Sinai Hospital-PT/Nights** The Clinical Nurse is a Registered Professional ... Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. +...and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing… more
- YAI (Manhattan, NY)
- …disabilities. PHC has also earned national certification as a Level 3 Patient-Centered Medical Home by the National Committee on Quality Assurance (NCQA). PHC is ... unique in its quality of medical , dental, mental health, rehabilitation and specialty care provided...families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier… more
- Mount Sinai Health System (New York, NY)
- …to Principal Investigator/Sub-Investigator, Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager, Investigational Review Board or Patient ... **Job Description** The Clinical Research Nurse is a Registered...4. Engages in formal and informal peer and institutional review processes. 5. Collaborates with interdisciplinary teams to create… more
- Fresenius Medical Center (Flemington, NJ)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Mount Sinai Health System (Manhattan, NY)
- … clinical program of designated nursing staff within the Medical Center. This individual interfaces directly with MSMC Departments, Administrators, Nursing, ... Medical and Quality Leadership, and Clinical Staff,...State License with current registration as a registered professional nurse . Certification in specialty area preferred. **Responsibilities** 1. Oversees… more
- Elevance Health (Woodbridge, NJ)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Clinical Fraud Investigator II** is responsible… more
- Centene Corporation (New York, NY)
- …NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services...necessity using appropriate criteria, referring those requests that fail review to the medical director for second… more
- Mount Sinai Health System (New York, NY)
- …7. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation. 8. Leads staff participation in quality ... **Job Description** The Nurse Manager is responsible for the management of...includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply… more
- Mount Sinai Health System (New York, NY)
- …resource person to nurses and other health team members. + Participates in peer review . + Incorporates research findings in clinical practice. + Participates in ... and other health team members. + Participates in peer review . + Incorporates research findings in clinical ...clinical practice. + Participates in approved nursing and medical research studies. + Keeps knowledge current by self-directed… more
- Mount Sinai Health System (New York, NY)
- …person to nurses and other health team members. 6. Participates in peer review . 7. Incorporates research findings in clinical practice. 8. Participates in ... and other health team members. 7. Participates in peer review . 8. Incorporates research findings in clinical ...clinical practice. 9. Participates in approved nursing and medical research studies. 10. Keeps knowledge current by self-directed… more
- Mount Sinai Health System (New York, NY)
- …person to nurses and other health team members. 7. Participates in peer review . 8. Incorporates research findings in clinical practice. 9. Participates in ... **Job Description** A nurse practitioner (NP) as described in Title VIII,...earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of… more
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? Summary: + The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical ,...for competent professional nursing practice as specified in the Clinical Nurse 2 position description. The … more
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? Summary: + The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical ,...for competent professional nursing practice as specified in the Clinical Nurse 2 position description. The … more
- Penn Medicine (West Windsor, NJ)
- …meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description. Exhibits PMPH organizational behavioral ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical ,...competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to: b.… more
- Mount Sinai Health System (New York, NY)
- …recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Associate Director of Nursing/designee or Patient Relations as ... 8. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation. 9. Leads staff participation in quality… more
- Mount Sinai Health System (New York, NY)
- …of quality patient care delivery, in conjunction with, or in the absence of, the Clinical Nurse Manager. **Qualifications** + Bachelor of Science with a major in ... 5 Minute Sit Down, Purposeful Hourly Rounding (PHR), Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. +...and family members who have concerns and escalates to Clinical Nurse Manager/Associate Director of Nursing/designee or… more