- Molina Healthcare (NY)
- …**Preferred Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Evolent (Albany, NY)
- …clients as scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are performed within the RN/LVN/LPN scope of practice, under… more
- Northwell Health (Lake Success, NY)
- **Req Number** 157409 Job Description Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the ... ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical… more
- Centene Corporation (New York, NY)
- …a fresh perspective on workplace flexibility. **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
- Bassett Healthcare (Cooperstown, NY)
- …between our hospital's Intensive Care Unit and Medical Units. Because of the higher clinical needs of the patient's cared for on this unit, the staffing is allocated ... discuss specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Special Care unit is accountable for the… 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 to… more
- City of New York (New York, NY)
- …level of functioning and self-sufficiency by providing comprehensive, integrated, individualized clinical and support services. CAS works with other programs at HRA ... Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision...1. Obtain referrals and schedule for evaluations from the Clinical Intake Unit for assignment of cases. Coordinate time… more
- Veterans Affairs, Veterans Health Administration (Canandaigua, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Psychiatric Nurse Practitioner (PMHNP) is responsible for the… more
- Stony Brook University (Stony Brook, NY)
- Registered Nurse 1 **Position Summary:** At the Long Island State Veterans Home, our Registered Nurses are critical members of the team who diagnose and treat ... adhering to a medical regimen. **Duties of a Registered Nurse may include the following but are not limited...information relevant to nursing resident care. + Participate in clinical in-service for nursing staff, including the certification of… more
- Veterans Affairs, Veterans Health Administration (Bronx, 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. ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
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