- Centene Corporation (New York, NY)
- …Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using ... a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all outpatient and… more
- Arnot Health (Elmira, NY)
- …Auth/Denial Management meetings EDUCATION: RN required. EXPERIENCE: NYS licensed Registered Nurse required. Bachelor's in nursing preferred. Must have ... Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues,… more
- Ellis Medicine (Schenectady, NY)
- …and assist in utilization management activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case files, ... primary function is to work with the Social Worker, Nurse Case Manager, or Utilization Management Nurse ...discharge planning documents are provided to post-acute care facilities prior to patient return (ie. NYS Department of Health… more
- Guthrie (Corning, NY)
- …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization * *Collect necessary documentation and submit it to the ... needed for patient that have arrived without orders. Prepare educational materials for the RN Nurse Navigator for Chemo Education Visits per the instruction and… more
- YMCA of Central New York (Manlius, NY)
- …Trainings & Certifications: + Must possess one of the following: Physician, Nurse Practitioner, Physician Assistant, Registered Nurse , Licensed Practical ... primary implementation of the camp's medical plan including proper authorization and distribution of medication, daily health surveillance of...within 24 hours. + Reviewing all campers' medical history prior to arrival at camp and making sure it… more
- Charles B. Wang Community Health Center (Queens, NY)
- …patient care and support + Perform nursing tasks under the direction of the registered nurse or authorized health care providers + Interview patients and records ... + Demonstrate curiosity and understanding of patient registration, administrative workflows and prior authorization processes + Collaborate with the care team to… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Ensures rooms are neat, clean, and stocked. + Rooms patients in preparation for nurse and physician. Breakdown, cleaning and set up of exam rooms to insure ... medications and documents allergies. Updates medications as instructed/approved by RN . Observes and communicates pertinent information and changes in patient's… more
- St. Mary's Healthcare (Johnstown, NY)
- …care. Ensure rooms are neat, clean, and stocked. Rooms patients in preparation for nurse and physician. Breakdown, cleaning and setting up of exam rooms to ensure ... medications and documents allergies. Updates medications as instructed/approved by RN or Provider. Observes and communicates pertinent information and changes… more
- Catholic Health Services (Massapequa, NY)
- …Demonstrates technical knowledge of procedures. Checks physician preference for equipment required prior to each procedure. Communicates information with RN to ... during emergency resuscitation. Responsible for reviewing the accuracy of printed records prior to placing in medical record and evaluate accuracy of data. Performs… more
- Catholic Health (Lewiston, NY)
- …school of professional nursing required + Licensed by State of New York as a Registered Professional Nurse ( RN ) required + Bachelor's Degree in Business or ... duties will include triage management, follow-up phone calls from patient inquiries, prior authorization management, assisting providers with refills and patient… more
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