- Evolent (Albany, NY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Evolent (Albany, NY)
- …Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization management team. We ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will routinely interact with...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 ... 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- Centene Corporation (New York, NY)
- …criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care + ... care to members + Provides feedback on opportunities to improve the authorization review process for members + Performs other duties as assigned + Complies with… more
- New York State Civil Service (Orangeburg, NY)
- …hire a Registered Nurse 1, Psychiatric, to serve as a Utilization Review Coordinator (URC). Candidates from outside or within State Service can apply. The ... NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 1 Psychiatric, (NY HELPS), Rockland Children's Psychiatric Center, P26613 Occupational Category… more
- Northwell Health (Garden City, NY)
- …Federal and State regulations. 5.Applies coding rules and regulations to the validation review process. 6.Reviews codes on Medicare /non- Medicare charts for ... clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates comprehensive knowledge of coding… more
- New York State Civil Service (Utica, NY)
- …result in a delay or failure to review your submitted materials. Tracking ID: Hourly/RN1P/McPike**Please provide your nurse ID number for qualification purposes. ... No Agency Addiction Services and Supports, Office of Title Registered Nurse 1 Psychiatric- Hourly (McPike Addiction Treatment Center) Occupational Category Health… more
- Northwell Health (Westbury, NY)
- …Federal and State regulations. + Applies coding rules and regulations to the validation review process. + Reviews codes on Medicare /non- Medicare charts for ... the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained in… more
- Northern Rivers Family Services (Troy, NY)
- Nurse Practitioner - Psychiatry Job Details Job Location Rensselaer-PCFC - Troy, NY Position Type Part Time-Benefited Salary Range $80.00 - $90.00 Hourly Travel ... Percentage Negligible Job Category Nurse Description Our Assertive Community Treatment (ACT) programs are...and education to staff + Prescribe medications, monitor, and review of drug regimen for enrolled individuals + Participate… more
- Stony Brook University (Stony Brook, NY)
- …cognitive and depression screens and gait and balance assessments. Perform Annual Medicare Wellness Visits. + Review laboratory, radiology, pathology, cardiac ... General, Geriatrics and Hospital Medicine **Description** Stony Brook Medicine's ** Nurse Practitioners and Physician Assistants** are valuable members of our… more