- 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
- Molina Healthcare (Rochester, NY)
- …identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill ... Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical... review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review … more
- Mount Sinai Health System (New York, NY)
- …the scientific knowledge, judgment and teaching skills of a professional nurse . **Qualifications** + Graduation from an accredited Nursing program. Bachelor's Degree ... **Responsibilities** + Conducts Nursing assessment based on interview, examination, observation and review of records of the patient. + Ensures that the patient's… more
- Catholic Health Services (Melville, NY)
- …providing the highest quality of patient care by being an integral part of the clinical team. The Registered Nurse Provides general nursing care to patients in ... Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the...nursing process in the ambulatory setting. The RN provides clinical leadership and is a resource for staff. The… more
- Albany Medical Center (Albany, NY)
- …and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... assigned patients.* Discusses payor criteria and issues and a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.* Uses… more
- Mount Sinai Health System (New York, NY)
- …resource person to nurses and other health team members. + Participates in peer review . + Incorporates research findings in clinical practice. + Participates in ... **Job Description** **Job Title: Nurse Practitioner-Cardiovascular Institute - Mount Sinai Hospital- Full...and other health team members. + Participates in peer review . + Incorporates research findings in clinical … more
- 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, ... on workplace flexibility. **Must have a New York State clinical license.** **Hours: 8:30am-5pm EST Monday - Friday.** **Position...analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with… more
- Mount Sinai Health System (New York, NY)
- …person to nurses and other health team members. 6. Participates in peer review . 7. Incorporates research findings in clinical practice. 8. Participates in ... **Job Description** A nurse practitioner (NP) as described in Title VIII,...and other health team members. 7. Participates in peer review . 8. Incorporates research findings in clinical … more
- Mount Sinai Health System (Long Island City, NY)
- …resource person to nurses and other health team members. + Participates in peer review . + Incorporates research findings in clinical practice. + Participates in ... **Job Description** A nurse practitioner (NP) as described in Title VIII,...earned a separate certification as an NP through advanced clinical nursing education in a distinct specialty area of… more
- Bassett Healthcare (Cooperstown, NY)
- …to achieve successful surgical outcomes. We desire RNs who demonstrate exceptional clinical skills, attention to detail, and the ability to perform well in ... in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Operating Room /...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. +… more