- 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 ... requiring authorization. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical ... line of business experience in telephonic case management (TCM) and/or utilization review or equivalent combination of education and experience required. **Skills &… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation ... with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care...to provide excellent customer service. + Demonstrated ability to review health care delivery against established criteria. + Must… more
- Centene Corporation (New York, NY)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse (RN) - Utilization ... Description of Duties This position is in the Utilization Review Unit and functions as an assessment nurse... Review Unit and functions as an assessment nurse . This is a professional nursing position involving responsibility… 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
- Delhi Rehabilitation (Delhi, 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
- 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 ... Licensed Practical Nurse Job Details Level Experienced Job Location Schenectady-Park...regarding concerns and behaviors + Participate in Interdisciplinary Medication Review meetings + Nursing documentation using EHR + Update… more
- Veterans Affairs, Veterans Health Administration (Syracuse, 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 ... Summary The Licensed Practical Nurse delivers fundamental, knowledge-based care to assigned patients...however, completed work may require routine or detailed higher-level review depending upon the complexity of the duties involved.]… 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