- Molina Healthcare (Albany, NY)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- HCR Home Care (Plattsburgh, NY)
- …software. Notify staff, as appropriate, to ensure proper coordination of care. + Review and approve all interim orders before they are sent to physician. Notify ... Report when the MRS is unable to retrieve the unsigned order. + Review and follow-up on entitlement verification issues. + Verify/Ensure there are orders for… more
- Northwell Health (Staten Island, NY)
- …+ Bachelor's Degree in Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, ... * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. +… more
- Guidehouse (New York, NY)
- **Job Family** **:** Clinical Appeals Nurse **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** + Performs chart review ... timeliness and appropriateness of patient care + Conducts admission reviews for Medicare , Medicaid beneficiaries, as well as private insurers and self-pay patients,… more
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure preferred Pay Range: ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Molina Healthcare (Rochester, NY)
- **Job Summary** **_For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** ... Nursing experience, including hospital acute care/medical experience (STRONGLY DESIRED)** + ** Registered Nurse with Claims and CIC coding experience (STRONGLY… more
- Fresenius Medical Center (Fairport, NY)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . Assists patients in performing self-care as applicable **Staff… more
- Fresenius Medical Center (Brooklyn, NY)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . **Staff Related** + Assists in training of applicable… more
- Guthrie (NY)
- …all levels of hospice care, including General Inpatient Hospice care." Experience: + Registered Nurse with experience in hospice, home health, or other ... our team! + $20,000 Referral Bonus - Refer an RN and earn big. + Comprehensive Medical and Dental...and any other GIP process within scope of a registered nurse . + On-call coverage as per… more
- WMCHealth (Warwick, NY)
- …current registration, issued by the New York State Education Department, as a Registered Nurse . Current AHA BLS required. Other: The individual performing this ... Applicant link Internal Applicant link Job Details: The Coordinator provides professional nurse management of Admissions and Medical Records and is responsible for… more