- 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, ... within New York State.** **8:30am-5pm, Monday-Friday.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and… more
- Hackensack Meridian Health (Neptune, NJ)
- …Shore University Medical Center: **Responsibilities** A day in the life of a ** Clinical Research Nurse ** at Hackensack Meridian _Health_ includes: + Assures that ... In collaboration with the principal investigator, clinical research coordinator, and clinical team, participates in the review of studies for feasibility and… more
- Elevance Health (Woodbridge, NJ)
- ** Nurse and CPC - Clinical Fraud...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records ... Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues... prior to payment. Researches new healthcare-related questions as necessary… more
- Penn Medicine (Monroe, 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 ... for competent professional nursing practice as specified in the Clinical Nurse 2 position description. The ... - NJ (Required) + Active New Jersey Registered Nurse License (required prior to first day… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Clinical Research Nurse is responsible for coordinating and overseeing clinical ... Patient Care in clinical research trials. The Clinical Research Nurse carries out the research...the principal investigator, clinical research coordinator, and clinical team, participates in the review of… more
- VNS Health (Manhattan, NY)
- …three years clinical experience in community health care required Prior clinical management, utilization management or care management experience preferred ... OverviewOversees the completion and approval of all clinical utilization documentation, including Start of Care, Re-certification, Resumption of Care, Follow up… 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
- 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
- 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
- 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
- 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
- Hackensack Meridian Health (Edison, NJ)
- **Overview** The Cardiac Nurse Navigator, in collaboration with the cardiologists, APN's, and the entire healthcare team, oversees and supports the cardiac patient ... and their significant other(s). The Cardiac Nurse Navigator is a member of the healthcare team...the patient/family to assess needs, based on assessment and prior evaluation from care coordinators/case management and develop an… more
- Elevance Health (Woodbridge, NJ)
- …reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines.** + Collaborates with healthcare providers, and ... Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners… more