- 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
- 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
- Hackensack Meridian Health (Edison, NJ)
- …duties with attention to detail and in a timely manner. + Collaborates with Utilization Review Nurses. + Referrals: + Primary Care Physicians + Behavioral Health ... a leader of positive change. The **Transitions of Care Nurse Navigator** is a member of the healthcare team...Quality Metrics. + Knowledge of health care delivery system, utilization and review and case review… more
- Elevance Health (New York, NY)
- …4 years managed care experience and requires a minimum of 2 years clinical, utilization review , or case management experience; or any combination of education ... the Elevance Health major office (PulsePoint) location listed above. The **Medical Management Nurse ** is responsible for review of the most complex or… 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
- CenterLight Health System (Ridgewood, NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care ... needed. + Serve as a manager on call during non -operational hours of the physical sites and responsible for...Delivery reports. + Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and ... operating room procedures. This individual seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening or have questionable… more