- Guthrie (Binghamton, NY)
- …a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree ... two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's degree in a related… more
- MVP Health Care (Tarrytown, NY)
- …. The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. This individual ... and licensed mental health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse (RN) required + New York State license required + Licensed Behavior… more
- Molina Healthcare (Albany, NY)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience… more
- Oracle (Albany, NY)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... and patient care improvements. Manage the nursing needs for multiple concurrent optimization projects, from requirements analysis and solution design to testing,… more
- Catholic Health Services (West Islip, NY)
- …Conditions of Participation. + Implements care management programs, including utilization review , intake and discharge planning. + Evaluates patient care data to ... and federal, state and QIO regulations. + Familiarity with admission and concurrent in-patient criteria is preferred. + Experience with data analytics preferred. +… more