- 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
- Molina Healthcare (Yonkers, 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
- 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
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Clinical Research Nurse ** is responsible for coordinating and overseeing clinical ... Patient Care in clinical research trials. The Clinical Research Nurse carries out the research...after March 31, 2024. Team members hired or transferred prior to March 31, 2024 require a minimum of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Clinical Research Nurse ** is responsible for coordinating and overseeing clinical ... Patient Care in clinical research trials. The Clinical Research Nurse carries out the research...after March 31, 2024. Team members hired or transferred prior to March 31, 2024 require a minimum of… 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
- Molina Healthcare (Yonkers, 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** ... (LVN) or Licensed Practical Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care … more
- Atlantic Health System (Morristown, NJ)
- …complies with all state and federal medical regulations. + Consult with the Clinical Nurse Manager, Occupational Health Medical Director, and /or collaborating ... + Must be proficient in Microsoft Office Suite + Prior experience working with EMRs preferred. + Prior...to the employees. + Submits monthly reports to the clinical nurse manager, department administrative assistant, company… 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