- Deloitte (New York, NY)
- …degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation Specialist - CCDS (inpatient) ... registered nurse , physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN , Quality,… more
- Bassett Healthcare (Cooperstown, NY)
- …desired. License/Certification: + Required - License - NYS licensure as Registered Nurse or valid interim permit is required ( RN I) + Required - ... and holiday coverage as well as weekday coverage. The Registered Professional Nurse Acute Care is accountable...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule + ( RN… more
- SUNY Upstate Medical University (Syracuse, NY)
- …including PC, Windows, Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, ... contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients… more
- Molina Healthcare (Syracuse, NY)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support... licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Pediatric Endocrine Department ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... may be at a high risk for readmission. The RN following these patients must have good clinical and...of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited… more
- STG International (Kingston, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes,...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more
- STG International (Auburn, NY)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. * ... Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes,...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse … more