- Ellis Medicine (Schenectady, NY)
- …physicians and interdisciplinary team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The Case ... identifies and verifies payment source for services and equipment prior to implementation of discharge plan + Collaborates and...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
- Molina Healthcare (Buffalo, NY)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high ... of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for… more
- Centene Corporation (New York, NY)
- …RN license.** **Inpatient Utilization Management** **Position Purpose:** Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical ... Monitors and tracks UM resources to ensure adherence to performance, compliance, quality , and efficiency standards + Collaborates with utilization management team to… more
- Whitney Young Health Center (Albany, NY)
- …Be a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse community. WYH has a ... service, teamwork, and flexibility, assists the medical providers to provide maximum quality patient care. Maintains an efficient, effective means of patient flow… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Surgery System. St. Mary's is deeply committed to expanding access to high- quality spinal care across Fulton and Montgomery Counties and the surrounding region. ... decision-making + Collaborate with surgical and non-surgical providers to ensure high- quality , integrated spine care + Maintain accurate medical records and EMR… more
- Tarrytown Rehabilitation & Nursing Center (Clinton County, NY)
- …and Credentials: Must possess a current NYS license as a Registered Professional Nurse and have graduated from an accredited school of nursing. Two years of ... residents before admission and/or designate a representative to screen prospective residents prior to admission. 4. Participates in daily or weekly management team… more
- Molina Healthcare (Rochester, NY)
- …of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for ... for requested treatments and/or procedures. * Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. * Processes… more
- Trinity Health (Albany, NY)
- …will have the opportunity to work with patients in their pre- surgical experience prior to the day of surgery. The job involves patient assessment, coordination of ... needed services prior to surgery and pre op teaching for all...have the support of comprehensive orientation developed by clinical nurse specialists in surgical nursing, on-site BLS classes, and… more
- Molina Healthcare (Rochester, NY)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 170577 Job Description Under direction and supervision of Registered Nurse , assists patients with activities of daily living, provides basic nursing ... the promotion and maintenance of a safe, cost-effective health-care environment. *Assists the nurse in providing for all ADL (activities of daily living) needs of… more