- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... an active New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- YAI (Manhattan, NY)
- …disabilities and their families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet ... on a weekly basis for supervision to review duties and responsibilities. + Accountable for the day-to-day...and followed as directed. + Assume duties of the nurse supervisor when needed and provide coverage for and… more
- Stony Brook University (Stony Brook, NY)
- Research Nurse - Cancer Clinical Trials **Position Summary** The **Research Nurse ** for the Cancer Center Clinical Trials Department is responsible for ... of patient eligibility for protocol participation by way of chart review , data collection and patient evaluation/assessment identification. In addition, the… more
- Centene Corporation (New York, NY)
- …NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... calls; managing them in a professional and competent manner. Processes all prior authorizations to completion utilizing appropriate review criteria. Identifies… more
- CDPHP (Latham, NY)
- …Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior authorization. This includes approval ... with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care...to provide excellent customer service. + Demonstrated ability to review health care delivery against established criteria. + Must… more
- Molina Healthcare (Albany, NY)
- …or master's degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** ... Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Bassett Healthcare (Cooperstown, NY)
- …to achieve successful surgical outcomes. We desire RNs who demonstrate exceptional clinical skills, attention to detail, and the ability to perform well in ... in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Operating Room /...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. +… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... years) are determined by the Education Loan Repayment Services office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Bassett Healthcare (Cooperstown, NY)
- …and enjoy the best quality of life possible. What you'll do The Discharge Nurse is accountable for the delivery of safe patient care utilizing the nursing process. ... The Discharge Nurse assesses, plans, delivers, coordinates, integrates, and evaluates nursing...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback +… more
- Bassett Healthcare (Cooperstown, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse IV, Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
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