- Monroe County, NY (Rochester, NY)
- …The employee reports directly to, and works under the general supervision of a Nurse Manager , or other higher-level staff member. General supervision may be ... Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit,...for providing nursing care that may include bedside and/or clinical care to convalescent, chronically ill, and seriously ill… more
- Fresenius Medical Center (Yonkers, NY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Jamaica, NY)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Clinical Nurse Leader - Spencerport/Chili Dialysis Location: Split between Spencerport and Chili Dialysis Offices Hours Per Week: 40 Schedule: ... 5 hours each treatment. Our staffing model consists of RN's, LPN's and Techs. SUMMARY The Clinical Nurse Leader (CNL), formerly known as ACL or Clinical Care… more
- Mount Sinai Health System (New York, NY)
- …as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by… more
- Molina Healthcare (Albany, NY)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and… more
- Rochester Regional Health (Rochester, NY)
- …M-F Days, with flexibility to work night/off shift SUMMARY:The Assistant Nurse Manager (ANM) is responsible for the clinical care to patients and direct ... Investigate and resolve patient or family concerns in collaboration with the Nurse Manager /Director; promote optimal care through internal and external… more
- Rochester Regional Health (Rochester, NY)
- …Week: 40 Schedule: M-F evening/night as determined necessary SUMMARY:The Assistant Nurse Manager is responsible for the clinical care to patients and direct ... of day-to-day responsibilities of nursing team members. The Assistant Nurse Manager is the main contact for...evidence-based practice within practice areao Completes at least one clinical research utilization (CRU) form for submission… more
- Elevance Health (Latham, NY)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the ... ** Utilization Management Representative I** **Virtual:** This role enables...inquiries from clients, providers and in-house departments. + Conducts clinical screening process. + Authorizes initial set of sessions… more
- Rochester Regional Health (Rochester, NY)
- …per week/Full Time Schedule: M-F Days, primarily Position Summary:The Assistant Nurse Manager (ANM) is responsible for the clinical care to patients and ... Job Title: Assistant Nurse Manager Department: SSDU Location: RGH...to improve clinical practice.*Completes at least one clinical research utilization (CRU) form for submission… more
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