- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... environment.* Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.*… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary… more
- Lincoln Financial Group (Albany, NY)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Albany Medical Center (Albany, NY)
- …+ Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve… more
- New York State Civil Service (Albany, NY)
- …years of post-licensure clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a bachelor's degree in ... HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 Utilization (NY HELPS) Occupational Category Health Care,… more
- Elevance Health (Middletown, NY)
- …medical decisions to members and providers. **Job Summary:** + Perform physician-level case review , following initial nurse review , of Medical Oncology ... regimens and supportive care. + Perform physician-level case review , following initial nurse review ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- Catholic Health (Lockport, NY)
- …Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager, Utilization Review / Transitions of Care, as an active member ... the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services...Education, or BS in Health related field + Registered Nurse , licensed ( unrestricted ) in New York State… more
- The Mount Sinai Health System (New York, NY)
- ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review ... pre-admission testing and operating room procedures. Seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening or have… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management RN has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization Management RN is an ... on their appropriate admission status. This individual will support the Utilization Management process by maintaining effective and efficient processes for… more
- University of Rochester (Rochester, NY)
- …work is remote with some on-site requirements as needed. **Qualifications:** RN with Utilization Review experience preferred; 3-5 years of recent acute hospital ... Responsibilities **General Description:** The Utilization Management Nurse role is a...insurance companies. The UM RN is responsible for the review of clinical documentation utilizing evidence-based criteria to support… more
- Centene Corporation (New York, NY)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... health management systems according to utilization management policies and guidelines + Works with healthcare...or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers… more
- Trinity Health (Syracuse, NY)
- …**Description:** Abiding by the St. Joseph's Health Mission and Values, the manager of Utilization Review is responsible for the planning, and coordination of ... utilization review to promote appropriate, effective and...for the patients within their service area. The Registered Nurse Manager is accountable for applying positive managerial strategies… more
- Northwell Health (Huntington, NY)
- …case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. + Keeps ... concurrent utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of stay. + Contacts… more
- Bassett Healthcare (Cooperstown, NY)
- …specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Inpatient Psychiatry unit is accountable for ... needs. The RN contributes to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate for a new nurse… more
- Albany Medical Center (Albany, NY)
- …Demonstrates experience in the referral process and use of community resources. 2. Utilization Review a. Reviews data from admission screening to clarify ... changing environment. 8. Basic knowledge of computer systems with skills applicable to utilization review process. Mission, Core Values and Service Excellence 1.… more
- Bassett Healthcare (Cooperstown, NY)
- …a Forbes America's Best-In-State Employer 2022! What you'll do The Registered Professional Nurse I, Acute Care is accountable for the delivery of safe patient care ... and job description is only appropriate for a new nurse in the first year of practice, as support...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes… more
- Bassett Healthcare (Cooperstown, NY)
- …Forbes America's Best-In-State Employer 2022! What you'll do The Registered Professional Nurse (I/II/III/IV), Acute Care will be accountable for the delivery of safe ... and job description is only appropriate for a new nurse in the first year of practice, as support...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes… more
- Bassett Healthcare (Cooperstown, NY)
- …to established department procedures. Participates or leads committees as directed by the Nurse Manager, as noted in portfolio review . Plans and implements ... with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. The Assistant Nurse Manager assists the… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …per established policies and guidelines. Responsibilities The Wound Care Registered Nurse (RN) is responsible for providing competent, evidence-based care to ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Analyzes resources available to staff and identifies… more
