- Guthrie (Corning, 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
- CenterLight Health System (NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care ... Delivery reports. + Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. +...maintaining optimal health status. + Collaborate with clinicians to review UAS and the UAS analyzer system to ensure… more
- CenterLight Health System (Ridgewood, NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: + Review and ensure effective development and execution of personalized care ... Delivery reports. + Participates and represents the Community Health Nurse (CHN) in IDT meetings, when required. + Balance...maintaining optimal health status. + Collaborate with clinicians to review UAS and the UAS analyzer system to ensure… more
- FlexStaff (Flushing, NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: - Review and ensure effective development and execution of personalized care ... Delivery reports. - Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. JOB...maintaining optimal health status. - Collaborate with clinicians to review UAS and the UAS analyzer system to ensure… more
- FlexStaff (New York, NY)
- …religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure effective development and execution of personalized care ... running necessary Clinical Delivery reports. Participates and represents the Community Health Nurse (CHN) in all IDT meetings, when required. Balance and allocate… more
- Mount Sinai Health System (New York, NY)
- …communication and interpersonal skills. + Current certification and registration as a Nurse Practitioner in New York State + Current license and registration as ... a Professional Registered Nurse in NY State + National Board Certification in...approach to care delivery. + Performs a patient record review with the collaborating physician in a timely fashion… more
- Humana (Albany, NY)
- …identified gaps. They will work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality ... thresholds and identify appropriate actions when controls indicate process gaps. + Review appeal overturns and provider complaints about coverage policies to make… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends ... and third party payers + Proactively communicates with Administrator and Director of Nursing to identify regulatory risk, effectiveness of Facility/Community Systems… more
- Arnot Health (Elmira, NY)
- …Bachelor's in nursing preferred. Must have proficient writing skills.Experience in Utilization Review and InterQual required. CARDIOPULMONARY RESUSCITATION (CPR) ... Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective authorization and… more
- Arnot Health (Bath, NY)
- Job Description MAIN FUNCTION: Coordinates and manages with the Director of Nursing (DON) all nursing care activities based on the philosophy of Arnot Health using ... attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. + Demonstrates effective...of the Long Term Care Department. + Ensures the utilization of the nursing process in maintaining quality of… more