- YesCare Corp (Coxsackie, NY)
- …+ Work alongside physicians and interdisciplinary team members to initiate and review healthcare plans. + **Communication and Reporting:** + Act as a liaison ... Emergency Care:** + Plan and supervise nursing care techniques and emergency medical responses per facility policies. + Lead CPR procedures during emergencies and… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 170830 **The Heart Center at Cohen Children's Medical Center** is the only children's hospital on Long Island that offers comprehensive ... inpatient and outpatient visits annually. **The Steven and Alexandra Cohen Children's Medical Center** is the largest pediatric teaching hospital in the New York… more
- UHS (Johnson City, NY)
- …surgical team and play a vital role in delivering safe, efficient, and high- quality care. In this fast-paced role, you'll prepare operating rooms, ensure surgical ... we invite you to bring your skills to UHS. Work Locations: UHS Wilson Medical Center, Johnson City, NY UHS Binghamton General Hospital, Binghamton, NY Primary Work… more
- Highmark Health (Albany, NY)
- …in achieving their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- New York State Civil Service (Bronx, NY)
- …recruiting for a Utilization Review Coordinator to analyze and evaluate quality , effectiveness, and efficiency of psychiatric and medical services provided ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P27076 Occupational… more
- Centene Corporation (New York, NY)
- …providers as appropriate to discuss level of care and/or services + Engages with medical directors and leadership to improve the quality and efficiency of care ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Molina Healthcare (Buffalo, NY)
- …work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is...member services review assessment processes. Responsible for verifying that services are… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for verifying ... across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. We are seeking a...Candidates with MCO experience are highly preferred. The Care Review Clinician must be able to work independently in… more
- Molina Healthcare (Rochester, NY)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. The candidate must have Medicare Appeals and/or… more