- Northern Rivers Family Services (Queensbury, NY)
- …collaborate with county and community partners, and participate in any quality audit and utilization review + Provide on-site/community based/home visits, ... Type Full Time Travel Percentage Up to 25% Category Nurse Description Psychiatric Nurse Practitioner - Assertive Community Treatment New Hire Retention Bonus… more
- Molina Healthcare (Buffalo, NY)
- …ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. + ... of payment decisions. + Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. + Provides training and… more
- Mercy Flight Central (Canandaigua, NY)
- FLIGHT NURSE Canandaigua, NY (http://maps.google.com/maps?q=2420+Brickyard+Road+Canandaigua+NY+USA+14424) * Air Medical Apply Description Job Summary: Utilizing ... and modification of care plan throughout patient transfer. + Utilization of Medical control for deviations of MFC Standards...years ED or ICU experience + Certified Flight Registered Nurse (CFRN) within one year of hire + Maintain… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IDepartment: Home Care Location: Monroe County Hours Per Week: 40Schedule: Days Sign-On Bonus: $20,000 SUMMARY: The RN Case ... Level II + Manages larger and more complex caseloads with effective service utilization and independent decision-making. + Acts as a mentor and informal leader,… more
- BronxCare Health System (Bronx, NY)
- …the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and ... agencies such as IPRO, The Joint Commission Regional and Medical Audit Contractors, and other licensing, accrediting, or review agencies. -Provides regular… more