- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review ... and competent manner. Processes all prior authorizations to completion utilizing appropriate review criteria. Identifies and refers all potential quality issues… 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 ... Zip Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily Utilization … more
- Centene Corporation (New York, NY)
- …benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. + Performs medical necessity ... criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care +… more
- Molina Healthcare (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 ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- Centene Corporation (Queens, NY)
- …/ or activities / clinical documentation submitted by the Intake Specialist. The Clinical Quality Assurance RN will review for to confirm accuracy and monitor ... fresh perspective on workplace flexibility. **Position Purpose:** The Clinical Quality Assurance RN will work in various capacities to... Assurance RN will work in various capacities to review , monitor and train staff in the Long Term… more
- Bassett Healthcare (Cobleskill, NY)
- …we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. About the department Cobleskill Regional Hospital is a small ... Nurses, and Patient Care Technicians to provide safe and quality patient care in this fast-pace and collegial work...in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Emergency Department is… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title : Nurse Practitioner- Cardiothoracic- Mount Sinai Hospital - Full Time - Night** A nurse practitioner (NP) as described in Title ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... process and its application + Licensed as a registered nurse with current registration in New York State +...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... process and its application + Licensed as a registered nurse with current registration in New York State +...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2.… more
- Mount Sinai Health System (Brooklyn, NY)
- **Job Description** The Offsite Registered Nurse is a Registered Professional Nurse who provides safe, competent, quality care based on nursing theory and ... quality and performance improvement initiatives. **Operations** 1.Performs charge nurse duties as assigned. 2.Coordinates with the Clinical Coordinator/Clinical … more
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