- Molina Healthcare (NY)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from… more
- aptihealth (Clifton Park, NY)
- …collaboration + Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success of our Case ... nursing program, Bachelor's degree preferred + Currently licensed as a Registered Nurse in New York + Current Certified Case Manager (CCM) certification preferred… more
- Fine Care Center (Woodbury, NY)
- YOUR FUTURE STARTS NOW! Are you a Licensed Practical Nurse looking for a great career opportunity, or a new LPN looking to gain invaluable experience? Join the Fine ... to the nurses. Requirements of the (LPN) Licensed Practical Nurse are as follows: + Active New York State...Original non-expired State Identification + Original proof of Work Authorization + Malpractice Insurance Policy + Knowledge of EMR… more
- CVS Health (Albany, NY)
- …healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical ... times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum 5 years of… more
- City of New York (New York, NY)
- …assignment. - Conduct case reviews of new applicants, service change and re- authorization cases, and participate in special projects. The reviews consist of ... 10301 Hours/Schedule: 9AM - 5:30PM (1 HR FLEX) STAFF NURSE - 50910 Qualifications 1. A valid New York...50910 Qualifications 1. A valid New York State Registered Nurse License. Additional Information The City of New York… more
- Centene Corporation (Queens, NY)
- …goals and policies. + Act as a liaison between Field Nurses and Nurse Supervisors to improve clinical processes and workflow communication. + Assist with gathering ... in a home care environment or as a staff nurse in an acute, sub-acute or long-term care (LTC)...position, so employment is contingent on acceptance and continued authorization by the State to have UAS access.Pay Range:… more
- Spectrum Health and Human Services (Buffalo, NY)
- …POSITION FUNCTION: As a member of the multi-disciplinary team, the Psychiatric Nurse Practitioner PMHNP in conjunction with the clinical team, has overall clinical ... disorders in accordance with the Collaborative Practice Agreement and the state's Nurse Practice Act. + Provide crisis assessment and management of individuals… more
- Guthrie (Cortland, NY)
- …of your nursing license. In addition to working with your primary registered nurse and patient care partner, your patients are supported by our multidisciplinary ... chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's… more
- Guthrie (Cortland, NY)
- …Medical Center (GCMC) is searching for a compassionate & skilled Licensed Practical Nurse (LPN) to provide exceptional care in our Telemetry unit at our beautiful ... chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's… more
- Guthrie (Cortland, NY)
- …chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient's ... and/or provider 18. Hepatitis checks and protocol to protect surgeon, patient, and nurse Other Duties: 1. As assigned as appropriate for LPN licensure 2. Attend… more