- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Guthrie (Binghamton, 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
- CDPHP (Latham, NY)
- …invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care ... and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible and...Manager is responsible and accountable for coordinating requests for prior authorization received via the telephone line,… more
- Hillside Family of Agencies (Rochester, NY)
- …for an identified caseload of youth and includes performing all clinical functions of a Registered Nurse ( RN ). This is a full-time (40 hours) position, on ... Program required. + Minimum 2 years of experience as a Registered Nurse required. SPECIAL REQUIREMENTS + Active, unrestricted RN license in NYS required.… more
- Centene Corporation (New York, NY)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... of care and services are medically appropriate + Performs prior authorization reviews related to mental health...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
- CDPHP (Latham, NY)
- …responsible for the clinical review and documentation for services requiring prior authorization . This includes approval determinations and appropriate ... nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. +… more
- University of Rochester (Albany, NY)
- …Successful completion of orientation at the unit level required **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse - State Licensure and/or Compact ... management of patient volumes, program expansion, maximizing billing opportunities, obtaining prior authorization and action planning to address variances. +… more
- Evolent (Albany, NY)
- …Managers to ensure successful adoption and engagement of Evolent's solutions (ie, prior authorization , clinical pathways) to ensure timely patient access to ... and/or practice transformation + Highly preferred oncology clinical experience (ie, RN , NP) + Must demonstrate knowledge of healthcare delivery operations,… 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
- Trinity Health (Albany, NY)
- …ass needed **What you will need:** **Required:** + A current license to practice as a Registered Nurse ( RN ) in the State of New York + Associate's degree ... well as insurance companies to manage insurance verifications and prior authorizations + Continual review and authorization ...long term care facility or home care as a RN + Prior experience in case management… more