- Centene Corporation (New York, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... 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,… more
- Stony Brook University (Stony Brook, NY)
- …Stony Brook Medicine is recruiting a full-time faculty member at the level of Clinical Instructor to join a busy academic practice with an established history of ... practice site in Central Islip and Lake Grove with possibility of providing clinical care in East Setauket, Bohemia, and Commack. The selected candidate will be… more
- Fresenius Medical Center (Jamaica, NY)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Stony Brook University (Stony Brook, NY)
- …Medicine: Neurology **Description** The Department of Neurology is seeking two Nurse Practitioners (FNP)/Physician Assistants who will work with physicians and ... diagnosis based on this information, as well as, initiate, review and revise treatment plans and record and present...higher). Current registration to practice as a Licensed Registered Nurse in New York State. Must have excellent communication… more
- Elevance Health (Latham, NY)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse (RN) - Utilization ... Description of Duties This position is in the Utilization Review Unit and functions as an assessment nurse...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 ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Stony Brook University (Stony Brook, NY)
- …Surgery **Description** **VTE NP Duties** The purpose of the venous thromboembolism (VTE) Nurse Practitioner role is to ensure high quality VTE prevention care is ... progress notes. + In addition to office visits, the Nurse Practitioner performs other tests and procedures specific to...event of an unsatisfactory outcome of the disclosure and review process, an offer of employment may be revoked… more
- Molina Healthcare (NY)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... in consistent and efficient manner. + Makes appropriate referrals to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care… more
- Wolters Kluwer (Colonie, NY)
- … Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... person. + Run evaluations, send to facilitator PreView & ReView Content Management Consultant/Senior Clinical Content Specialist...the platform for new products. + Collaborate with the nurse educator team to evaluate practices and processes in… more