- buyer (New York, NY)
- Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a ... through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership… more
- City of New York (New York, NY)
- …with the established health standards for children in foster care. The New Admissions Focused (NAF) Nurse Reviewer will be responsible for: 1. Scheduling ... 5 boroughs 2. Participating in all post medical record review quality monitoring and corrective action processes 3. Conducting...subject of a child abuse and maltreatment report. STAFF NURSE - 50910 Qualifications 1. A valid New… more
- HCA Healthcare (Denver, CO)
- …days of employment start date, NRP required for attendance of newborns at delivery and new admissions + Registered Nurse , Current licensure in the State of ... ill, premature and newborn patients meeting the NICU IV admissions criteria. The NICU IV RN serves as primary...path, we encourage you to apply for our Registered Nurse NICU IV opening. We review all… more
- State of Massachusetts (Chelsea, MA)
- MVH at Chelsea is actively seeking an Admissions Nurse (Registered Nurse III) to join their team. In this role, you will provide clinical oversight for the ... Admissions Discharges Transfers (ADT) Team with coordination of new admissions and intra-facility bed/care coordination. You will complete preadmission… more
- National Health Care Associates (Fairfield, CT)
- …valued and appreciated. We invite you to join our team! **-** **RN Admissions Nurse ** **Full-Time** **32 hours weekly Tues-Fri (with on-call rotation)** **What ... You'll Do:** As an RN Admissions Nurse , you will play a pivotal...needs + Assist in developing individualized care plans for new admissions + Coordinate and communicate care… more
- BrightStar Care (Fort Mill, SC)
- …tailored to the unique needs of each individual. Summary We are seeking a Clinical Admissions Nurse Manager to join our team at BrightStar Care. In this pivotal ... Off * Weekly pay Who is the agency's Clinical Admissions Manager Nurse ? You Are * A...of Care and supervisory process. * Host and present new hire weekly Orientations Does This Sound Good to… more
- Ochsner Health (Lafayette, LA)
- …order by the physician and applies hospital approved medical necessity criteria to review appropriate admissions and levels of care. Documents completed reviews ... of patient care. Preferred - Experience in case management or utilization review . **Certifications** Required - Current Registered Nurse license in state… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing admission requests… more
- Phoenix Home Care and Hospice (Springfield, MO)
- …+ PTO + Orientation and training tailored to your needs as a new hire. + Motivational PHC culture, training, and Supportive Home Health Team. Responsibilities ... + Assists in development, review and revision of the plan of care. +...treatment. + Participates in education programs, quality assessment activities, nurse 's meetings and other staff meetings as required. +… more
- New York State Civil Service (New York, NY)
- …Health, Office of Title Registered Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 Occupational Category ... No Compressed workweek allowed? No Telecommuting allowed? No County New York Street Address New York State...Review audits for active and discharged records, reviewing admissions and continued stays to ensure proper hospitalization, and… more
- Houston Methodist (Houston, TX)
- …This position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is...members and customers. Acts as a formal preceptor/coach for new utilization review employees. Develops skills of… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as… more
- CDPHP (Latham, NY)
- …these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation ... DME requests and inpatient readmissions. In collaboration with management, the UR nurse identifies potentially high-cost admissions and extended stays. The UR… more
- University of Utah Health (Salt Lake City, UT)
- …**Responsibilities** + Applies approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review ... Communication to third-party payers for initial and concurrent clinical review . + Reviews patient chart to ensure patient continues...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Beth Israel Lahey Health (Boston, MA)
- …Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on ... the health care team to ensure reimbursement of hospital admissions is based on medical necessity and documentation is...Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records… more
- State of Colorado (Pueblo, CO)
- Nurse I - ECT & Outpatient Coordinator - CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5094633) Apply Nurse I - ECT & Outpatient ... and time listed. + Description + Benefits + Questions Department Information Registered Nurse I-Full Time CMHHIP This posting will be used to fill multiple… more
- Hartford HealthCare (New Britain, CT)
- …looking for one-on-one mentorship. * * *Role*: Physician Assistant or Acute Care Nurse Practitioner *Location*: 100 Grand Street, New Britain, CT 06052 ... and Orientation* programs specially designed for newly hired providers and providers new to practice *Physician Assistants/ Nurse Practitioners Role Scope:* Under… more
- Albany Medical Center (Albany, NY)
- …for assigned patients.* Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Departmental standards.* ... While performing utilization review identifies areas for clinical documentation improvement and contacts...Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to… more
- Saratoga Hospital (Saratoga Springs, NY)
- Hospitalist Program Opportunity, Night Shift for a Physician Assistant or Nurse Practitioner with Saratoga Hospital Medical Group - Inpatient Medicine, Saratoga ... Medicine, seeks a full time NYS-licensed Physician Assistant or Nurse Practitioner for a hospitalist role on the 8...role of practitioners is to initially assess and process admissions that come into the Hospitalist Service through the… more
- Saratoga Hospital (Saratoga Springs, NY)
- Hospitalist Program Opportunity, Per Diem for a Physician Assistant or Nurse Practitioner with Saratoga Hospital Medical Group - Inpatient Medicine, Saratoga ... Medicine, seeks a per diem NYS-licensed Physician Assistant or Nurse Practitioner for a hospitalist role for varied shifts....role of practitioners is to initially assess and process admissions that come into the Hospitalist Service through the… more
