- Elevance Health (New York, NY)
- …will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. + Perform ... physician-level case review, following initial nurse review, of chemotherapy regimens. + Determine medical necessity of requests using guidelines and client-specific… more
- Catholic Health Services (Smithtown, NY)
- …across the acute care continuum. + Performs required activities for utilization management, PRI assessment and completion, transition planning, and identification of ... to patient and hospital. + Works proactively with ED staff, ED charge nurse , and ED physicians to identify possible admissions. + Determines DRG-based initial LOS… 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 ... of stay, avoidable day and barriers to discharge processes pertaining to utilization management. - Liaisons and coordinates with other hospital departments as needed… more
- Molina Healthcare (Yonkers, NY)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 ... managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
- Kaleida Health (Buffalo, NY)
- …outpatient, and the home health continuum, as well as managed care utilization management and coordination of care. Incumbent must maintain their knowledge of ... or health related profession (ie social work) preferred. Registered nurse license required. Case management certification preferred.** **Experience** **3-5 years… more
- Guthrie (Binghamton, NY)
- Up to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in health promotion and illness prevention of patient populations through ... nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under the direct supervision of a physician (physician on… more
- Bassett Healthcare (Cooperstown, NY)
- …health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety of inpatient ... units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care, assist with...supervisory chart review + Demonstrates consideration of safety, effective utilization of equipment and materials, and cost in managing… more
- University of Rochester (Brighton, NY)
- …individual, and internal equity considerations._ **Responsibilities:** Under general direction from Nurse Leader, Nurse Manager or designee assists providers ... provider based on individual provider preference. + Responsible for efficient room utilization and ensures patient wait time is minimized. + Escorts patients from… more
- Albany Medical Center (Albany, NY)
- …Licensure, Certification & Registration: + Must hold a current NYS Registered Nurse license. Experience: + 7-10 years of experience in nursing, involving ... Responds to changes in work efficiently and effectively. Support implementation and utilization of clinical nursing research. Promote the use by colleges and… more
- Mohawk Valley Health System (Utica, NY)
- …sepsis to ensure patients receive appropriate care. + Evaluate and analyze utilization of treatment protocols for patients experiencing sepsis to reduce mortality ... Nursing (MSN). + Lean Six Sigma training. + Experience as a Clinical Nurse Specialist. + Experience with current sepsis guidelines. + Completion of Sepsis… more