- Molina Healthcare (Buffalo, NY)
- …**Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory ... and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review , appropriate… more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.* Facilitates removal of delays and documents… more
- Stony Brook University (Stony Brook, NY)
- …effective patient care. + For Nurse Practitioners - Assistance in the annual review Nurse Practitioner protocols. This is a faculty academic position at the ... Critical Care Medicine at the Clinical Instructor level. The Nurse Practitioner/Physician Assistant will join physician faculty of the...event of an unsatisfactory outcome of the disclosure and review process, an offer of employment may be revoked… more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- CDS Life Transitions (Webster, NY)
- … Educator coordinates all hospital/rehab admissions/discharges and completes a post hospitalization review . The Nurse Educator serves as a leader and assists ... Summary: The Nurse Educator provides education and evaluation to direct...staff in the performance of delegated nursing tasks. The Nurse Educator collaborates with the training department to facilitate… more
- Sodus Rehab & Nursing Center (Medina, NY)
- …report daily to observe and evaluate each resident's physical and emotional status . Review the nurse 's notes to ensure that they are informative and descriptive ... in completing and performing such tasks . Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her… more
- Sodus Rehab & Nursing Center (Dolgeville, NY)
- …report daily to observe and evaluate each resident's physical and emotional status . Review the nurse 's notes to ensure that they are informative and descriptive ... and government agencies as required . Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her… more
- Northern Rivers Family Services (Schenectady, NY)
- …onsite. Responsibilities: + Complete the nursing observations report findings to the registered nurse + Review lab and test results, reporting critical values to ... Shift Day/Evening/Overnight Education Level High School/GED Travel Percentage None Category Nurse POSITION OVERVIEW Licensed Practical Nurses (LPN) Evening & Weekend… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …and record relevant] patient information. Completed work [should need] only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... and referred as vacancies become available. The Licensed Practical Nurse (LPN) works under the direction and supervision of...works under the direction and supervision of the registered nurse and displays knowledge and ability in providing a… more
- Veterans Affairs, Veterans Health Administration (Queens, NY)
- …and record relevant] patient information. Completed work [should need] only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Licensed Practical … more