- Albany Medical Center (Albany, NY)
- …Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.* Working ... stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and… more
- Guthrie (Binghamton, NY)
- …health care services regarding admissions, case management, discharge planning and utilization review . Responsibilites: Reviews admissions and service requests ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to… more
- Seafield Center, Inc. (Westhampton Beach, NY)
- Title: Utilization Review Counselor ID:5712 Department: Utilization Review Location:Westhampton Beach Description Full-Time Opportunity Available + ... Program + Retirement Program (401k) + 8 Paid Holidays MAIN FUNCTION: + Review appropriateness and clinical necessity of admissions, continued stays, and discharges +… more
- Molina Healthcare (Albany, NY)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) or State Clinical Social Worker/Counseling… more
- Mount Sinai Health System (New York, NY)
- …influence other services by focusing on patient processes. 9. Develops and implements Utilization Review (UR) based on internal data collection, data received ... :** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight… more
- Mount Sinai Health System (New York, NY)
- …**Experience Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. ... a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... + Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and ... Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or...System is one of the largest academic medical systems in the New York metro area, with more… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- CenterWell (Liverpool, NY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...NY state requirement. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training ... 40 hours per week Respiratory Therapist (RT) / Respiratory Nurse ( RN ) We are searching for a...of respiratory disease and diseases that affect the respiratory system . o Ability to use respiratory therapy equipment. o… more
- Guthrie (Binghamton, NY)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review , and payer knowledge. A Case… more
- Fresenius Medical Center (New York, NY)
- …+ Collaborates closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager, the ... + Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. + Developing and communicating...CQI tools. + Works with the Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director… more
- Albany Medical Center (Albany, NY)
- …+ Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve… more
- Molina Healthcare (Buffalo, NY)
- …* UAS experience * Experience conducting home visits Required Licensure or Certification: * Registered Nurse ( RN ) State Specific Requirements: * Must reside ... for Medicaid and Medicare. We are looking for a RN candidate with a Uniform System Assessor...and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or… more
- Sharecare (Albany, NY)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Bassett Healthcare (Cooperstown, NY)
- …before 12/19/17 are/remain exempt from this requirement. Experience: Minimum 5 years of Registered Nurse experience, 3 years must be in relevant practice area, ... required Must be able to perform as preceptor, required Minimum 2 years Registered Nurse experience in relevant practice area, if Education is BSN or MSN,… more
- Bassett Healthcare (Cooperstown, NY)
- …a principle liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate bed ... management experience, preferred License/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Case management certification,… more
- Molina Healthcare (Albany, NY)
- …abuse through the identification of aberrant coding and/or billing patterns through utilization review . * Incorporate leadership and communication skills to work ... care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED… more