- CDPHP (Albany, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
- Centene Corporation (New York, NY)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure required Pay Range: ... with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive...processes preferred. NYS RN License Required… more
- CVS Health (Albany, NY)
- …Excellent analytical skills and the ability to mentor and develop team members. + Registered Nurse ( RN ). + Previous experience with Behavioral Health ... guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting… more
- Centene Corporation (New York, NY)
- …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... applicable criteria, and analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with State, Federal and NCQA… more
- Hillside Family of Agencies (NY)
- …of youth/individuals. This role may also include performing all clinical functions of a Registered Nurse ( RN ). This is a full-time (40 hours) position, ... and support in an OCFS funded program! * Valid Registered Nurse ( RN ) license *...of an interdisciplinary team. + Develop, supervise implementation of, review and revise each individual's written health care plan.… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** + Licensure: New York State License with current registration as a registered nurse . + State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Veterans Affairs, Veterans Health Administration (Batavia, NY)
- …information. Completed work [should need] only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... (LPN) works under the direction and supervision of the registered nurse and displays knowledge and ability...in the medical record and reporting patient status to RN . Documenting patient/family/significant other teaching and their response to… more
- Mount Sinai Health System (New York, NY)
- …Nursing / BSN required for all Clinical RN positions + Current New York State Registered Nurse / RN license (or willingness and eligibility to obtain) + ... **Job Description** **Emergency Department - Registered Nurse ** **Mount Sinai Hospital; Mount...Conducts Nursing assessment based on interview, examination, observation and review of records of the patient + Ensures that… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …information. Completed work [should need] only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... clearly defined. Recognizes significant changes in patient's condition/response to the Registered Nurse . Accurately documents and retrieves patient information… more
- 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 ... the TRICARE beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary prior authorization requests for medical… more