- 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 ... necessity using appropriate criteria, referring those requests that fail review to the medical director for second...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (New York, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Dialysis Registered Nurse (RN) is a professional nurse with...subject to such accommodations as required by law (ie, medical , religious or pregnancy). VHA HCPs do not include… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... customers VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,...subject to such accommodations as required by law (ie, medical , religious or pregnancy). VHA HCPs do not include… more
- Hillside Family of Agencies (NY)
- $5,000 FULL TIME REGISTERED NURSE SIGN ON BONUS! Job Summary The Nurse Coordinator provides health care oversight and medical case management for an ... remote role. Are you a compassionate, experienced Registered Nurse looking to make a positive impact on the...of an interdisciplinary team. + Develop, supervise implementation of, review and revise each individual's written health care plan.… more
- Hillside Family of Agencies (Rochester, NY)
- $5,000 FULL-TIME REGISTERED NURSE SIGN-ON BONUS! Job Summary The Assistant Nurse Manager supports the delivery of quality health services to youth at a site or ... in a particular service and assists the Nurse Manager with administrative management of the health care...is also responsible for providing health care oversight and medical care management for an identified caseload of youth… more
- Elmcrest Children's Center (Syracuse, NY)
- …Job Category Undisclosed Description This position is full or part time position. The Nurse Practitioner works closely with the Medical Director to best provide ... Nurse Practitioner Job Details Level Experienced Job Location...at the discretion and under the supervision of the Medical Director. + Review sub-specialty consultations and… more
- CVS Health (Albany, NY)
- …high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Evolent (Albany, NY)
- …mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- Mount Sinai Health System (Brooklyn, NY)
- …reflect the scientific knowledge, judgment and teaching skills of a professional nurse **Qualifications** **_Requirements:_** + Bachelor of Science with a major in ... Nursing preferred. + Registered Nurse License and current registration in New York State...skills/experience may be required in specialized areas, including : remote telemetry, administration of IV antiarrhythmic drugs, EKG interpretation,… more