- NewYork-Presbyterian (Brooklyn, NY)
- …medical/surgical daily admissions that requires risk identification and clinical reviews. A utilization nurse completes no less than 20 initial clinical reviews ... are listed in the following description. Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located...is responsible for all aspects of discharge planning and utilization management/ review for an assigned group of… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Parexel (Albany, NY)
- …reproducible research practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable health professional credentials, ... solutions, and ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or anomalies to ensure… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member… more
- Bassett Healthcare (Cobleskill, NY)
- …Experience: + New graduate or less than one year of experience as a Registered Nurse , required License/ Certification: + NYS licensure as Registered ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule. + ( RN… more
- Northwell Health (Bay Shore, NY)
- …action. + * Acts as a liaison with patients insurance carrier (case manager, utilization reviewer ) to coordinate post hospital services and referrals. + * Makes ... to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Fresenius Medical Center (Bellmore, NY)
- Recent dialysis RN experienced required **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation ... into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is… more
- Bassett Healthcare (Cooperstown, NY)
- …needs. The RN contributes to the support of patients through interdisciplinary teamwork. + Registered Nurse I: The RN I status is only appropriate for a ... hire. + Salary Range: $39.01- $58.51 per hour + Registered Nurse II: The RN ...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule + ( RN… more
- Fresenius Medical Center (Mineola, NY)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Northwell Health (Poughkeepsie, NY)
- …five (5) years of job entry date + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + Submits… more
