- WellLife Network (South Richmond Hill, NY)
- Licensed Practical Nurse Relief -DDA106 - On-Call Job Details Job Location Ann Mittasch ICF - South Richmond Hill, NY Education Level Not Specified Salary ... location and schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as needed. + Attend… more
- CVS Health (Albany, NY)
- …year of advanced proficiency in Microsoft Word, Excel, and Outlook - Active and unrestricted Licensed Practical Nurse ( LPN ) licensure in New York ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...School Diploma or Equivalent GED - MUST be a Licensed Practical Nurse **Anticipated Weekly… more
- Mohawk Valley Health System (Utica, NY)
- LPN - NYSUT (VNA) Department: NURSING Job Summary The Licensed Practical Nurse - NYSUT (VNA) is responsible for performing tasks and responsibilities ... in appropriate agency meetings and the quality improvement and utilization review activities of the organization. +...At least two years of experience working as a Licensed Practical Nurse , preferably in… more
- Seafield Center, Inc. (Westhampton Beach, NY)
- …+ Knowledge of inpatient/outpatient services and 12 Step programs EDUCATION AND QUALIFICATIONS + NYS Licensed Practical Nurse ( LPN ) required + Minimum 1 ... including EMR entries, PAS forms, and consent forms + Liaise with Utilization Review , Medical, and Transportation departments + Maintain accurate bed board and… more
- CDPHP (Albany, NY)
- …clear understanding of prescription and medical benefits as it applies to the utilization review process. + Must demonstrate proficient experience with the ... be a part of that experience. Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for… more
- Evolent (Albany, NY)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on… more
- Catholic Charities Family Community Services (Newark, NY)
- …record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation activities as ... **Registered Nurse - OASAS** **Job Details** **Level** Experienced **Job...general supervision, provides comprehensive health services and supervision for LPN program staff if applicable. Works collaboratively with other… more
- Elderwood (Cheektowaga, NY)
- …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN /RN MDS Coordinator with case management responsibilities. The candidate is the… more
- Guthrie (Corning, NY)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... collection, data analysis and process outcome evaluation. Education, License & Cert: Licensed Registered Nurse . Bachelor's Degree in Nursing or related field… more
- Intermountain Health (Albany, NY)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more