- Centene Corporation (New York, NY)
- …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, ... have a New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… 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
- Molina Healthcare (Manhattan, NY)
- …people who are eligible for Medicaid and Medicare. We are looking for Registered Nurse Care Review Clinicians with Prior Authorization experience. Experience ... in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review ...Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC… more
- Northwell Health (Melville, NY)
- … in New York State required, plus specialized certifications as needed. + Prior experience in Case Management, Utilization Review , and Appeals/Denials, highly ... and billing status and ensures compliance with the Utilization Review standard and regulations. Performs concurrent and retrospective utilization management… more
- City of New York (New York, NY)
- …level of functioning and self-sufficiency by providing comprehensive, integrated, individualized clinical and support services. CAS works with other programs at HRA ... Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision...1. Obtain referrals and schedule for evaluations from the Clinical Intake Unit for assignment of cases. Coordinate time… 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 ... Street) $70,000 - $75,000 **Position Summary: **Under the general supervision of the Clinical Nurse Manager/Registered Nurse , and the Community Health Center… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The nurse anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending Anesthesiologist, the ... of Science degree in NursingMasters Degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The certified registered nurse anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending ... of Science degree in Nursing Masters Degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse … more
- Molina Healthcare (New York, NY)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Planned Parenthood of Greater New York (New York, NY)
- …compassionate, nonjudgmental abortion services. When you join PPGNY as a Registered Charge Nurse , you will obtain and assess patient's medical history and counsel on ... of Licensed Practical Nursing and Support Staff. The charge nurse distributes the work of the unit in a...assumes charge responsibility under the direction of the Director, Clinical /Surgical Services Direct Clinical Care (100%) +… more
- Weill Cornell Medical College (New York, NY)
- …in daily operations. **Job Responsibilities** + Responsible for maintaining department's Clinical Policies and Procedures manual. Develop, review , and revise ... Title: Nurse Administrator-OB/GYN Location: Upper East Side Org Unit:...Degree in Nursing **Experience** Minimum of 5 years of clinical experience. Prior experience in supervisory role… more
- VNS Health (Manhattan, NY)
- … review of all components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical ... team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state… more
- City of New York (New York, NY)
- …or people who are not in care. The ACE Unit is seeking a Nurse Practitioner, to work with Public Health Advisors in providing HIV-related education and consultation ... home visits and provide in-home medical consultation for clients. Review complex and contradictory HIV test results and work...and current registration to practice as a Registered Professional Nurse LICENSE MUST BE MAINTAINED FOR THE DURATION OF… more
- Mount Sinai Health System (New York, NY)
- **Job Description** An advanced practice nurse , or Certified Registered Practice Nurse (CRNA). Within this role, under the direct supervision of an Attending ... NYS RN with Masters Degree or Doctorate degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse … more
- Mount Sinai Health System (Jamaica, NY)
- …of at least 18 months approved by the American Association of Nurse Anesthetists. -Satisfactory completion of the qualifying examination of the American Association ... of Nurse Anesthetists and recognition by the State Board of...skills. **Responsibilities** -Makes preoperative visit to examine the patient, review medical history and review the patient's… more
- VNS Health (Manhattan, NY)
- …Develops and delivers training programs/courses to staff focusing on specific clinical areas/member care. Compensation Range:$40.95 - $51.19 Hourly + Provides ... classroom instruction and clinical assessment of students enrolled in the Home Health...required skills and assures competency in the required skills prior to placement in a patient's home. + Identifies… more
- Mount Sinai Health System (New York, NY)
- …Advancing medicine. Healing made personal. **_Roles & Responsibilities:_** An advanced practice nurse , or Certified Registered Practice Nurse (CRNA). Within this ... anesthesia, monitoring of the patient's physiological condition and performance of clinical intervention as necessary, directed by attending anesthesiologist 2. In… more
- Fresenius Medical Center (Flushing, NY)
- **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered ... months from date of hire. + Performs ongoing, systematic review and analysis of dialysis data for Home Therapy...Patient Care Technicians/LPNs as a Team Leader or designated Nurse in charge, after the following: + Successful completion… more
- Fresenius Medical Center (Hicksville, NY)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- FlexStaff (Queens, NY)
- …of the certified agency team. The Coordinator of Care is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in ... and all interim orders, update medication profile, care coordination with other disciplines, review and completion of case communication notes, daily review of… more