- 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 (Brooklyn, 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
- Albany Medical Center (Albany, NY)
- …study mediation to the patient or set up/schedulemedication infusions or coordinate with nurse to administer study medication injection. 16. Review oral study ... Diem (United States of America) Salary Range: $78,773.63 - $122,099.12 The clinical research coordinator is responsible for the organization and management of… more
- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Utilization Review Nurse (URN) performs clinical review to ... nurse (RN) required. + Two (2) years of clinical experience as an RN in a varied ...Provide High Quality, Professional Utilization Management Services: (Medical necessity review for prior authorization, pre-certification, concurrent, as… more
- Evolent (Albany, NY)
- …Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United ... mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance… 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
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …reviews in accordance with VHA guidelines. Reports adverse events and participates in clinical review processes as required. Preferred 2-3 years of NP experience ... NY Harbor Healthcare System (NYHHS) is seeking a full-time Nurse Practitioner for its Pain Clinic, within Primary Care....Primary Care, Medical, Surgical in both inpatient and outpatient clinical settings to provide a full range of services… 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
- 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