- University of Rochester (Rochester, NY)
- …Training: + Assists with orienting new CRNAs to the department; completes initial competency review . + Brings CRNA concerns to the attention of Chief Clinical ... resource to new hire CRNAs and their mentors. Scheduling: + Provides Clinical Coordinators with staff feedback regarding assignments, equitability, and workflows. +… more
- Saratoga Hospital (Saratoga Springs, NY)
- …+ Review /answer portal messages from patients + Other non-telephonic clinical duties as determined by supervisor. What You'll Do + Respond promptly ... our patients and families deserve. In this role, the Telephone Triage Registered Nurse will work within the Patient Engagement Center to assist the Pre-Service… more
- University of Rochester (Rochester, NY)
- …Health Information Technician (RHIT) Program Preferred **_or_** + Licensure/credentials in clinical specialty such as Registered Nurse , Licensed Practical ... + Accurately identify all trauma admissions, transfers, and deaths, using clinical identifiers and strict inclusion/exclusion criteria. + Complete and verify for… more
- University of Rochester (Rochester, NY)
- …direction. Works collaboratively with the Supervisor, Medical Office, Asst. Director, Clinical Administration, Nurse Manager, and Medical Director to ensure ... orientation, training, development and evaluation, and management of staff.Management of clinical staff in collaboration with the site medical director and or… more
- Suny Polytechnic Institute (Utica, NY)
- …Unencumbered RN and APRN license (or eligibility) in NY state + Active clinical practice experience as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC). ... in the Doctorate of Nursing Practice's Psychiatric Mental Health program (didactic, clinical , and online formats). + Provide academic and clinical advising… more
- Centene Corporation (New York, NY)
- …**Inpatient Utilization Management** **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ... utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses and… more
- Molina Healthcare (NY)
- …member benefits, and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ... Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review . + Communicate and participate in meetings… more
- Ellis Medicine (Schenectady, NY)
- …psychosocial needs and coordinate transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or discharge planning ... by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and social workers for… more
- MVP Health Care (Schenectady, NY)
- …. The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. This individual ... will make triage and referral decisions requiring clinical judgement, with an emphasis placed on Autism Spectrum...health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse (RN) required + New York State license required… more
- Molina Healthcare (Albany, NY)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more