- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in… more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... to achieve continuous improvement in both areas.* Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up… more
- Bassett Healthcare (Cobleskill, NY)
- …Schoharie County and the surrounding region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable ... accredited by The Joint Commission. CRH provides inpatient care for general medical conditions, an inpatient short-term rehabilitation unit, and more than 20… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse for the Mount Sinai nursing float pool is a Registered Professional Nurse who provides safe, competent quality care based ... application Licensing and Certification Requirements (if applicable) Licensed as a registered nurse with current registration in New York State Name: Basic Life… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- Bassett Healthcare (Delhi, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care ... and job description is only appropriate for a new nurse in the first year of practice, as support...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. +… more
- New York State Civil Service (Endicott, NY)
- NY HELP Yes Agency Insurance Fund, State Title Registered Nurse 2 - Medical Care (NY HELPS) Occupational Category Health Care, Human/Social Services Salary Grade ... Endicott State NY Zip Code 13760 Duties Description Registered Nurse 2 ( Medical Care) positions at NYSIF...public health, community health, visiting nursing, occupational health, utilization review , or review of medical … more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate,...medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review … more
- City of New York (New York, NY)
- …equity-driven, engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES ... WILL INCLUDE BUT NOT BE LIMITED TO: - Review /conduct pre-employment physical examinations, immunization, and blood testing, return to duty exams, handles employee… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Registered Nurse (RN) provides professional nursing care to patients within the Department of Medicine. The registered nurse monitors patient, ... care while overseeing the work of the licensed practical nurse , and ancillary staff in the Practice. Floating to...Department of Medicine + Screen patients, take vital signs, review medication list, assist clinician with exams, maintain patient… more