- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour ... for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State current license. +...Basic knowledge of computer systems with skills applicable to utilization review process. + Excellent written and… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... for acute and subacute rehabilitation, transportation and DME requests. Review of identified high-cost admissions and extended stays and...acute care experience is required as a Licensed Practical Nurse . + Minimum of two (2) years Utilization… 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
- Elevance Health (Latham, 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
- 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 (Cobleskill, NY)
- …a Forbes America's Best-In-State Employer 2022! What you'll do The Registered Professional Nurse Acute Care is accountable for the delivery of safe patient care ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more
- Bassett Healthcare (Cobleskill, 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
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The duties of the RN include, ... but are not limited to: Demonstrates ability to function effectively in charge nurse , team leader, or other leadership roles. Applies problem-solving skills at the… more
- Northern Rivers Family Services (Schenectady, NY)
- …cooperate with the County and participate in any quality audit and utilization review . Provide on-site/community based/home visits medication evaluations and ... Nurse -Psychiatric NP Job Details Job Location Schenectady-Park Place...and education to staff . Prescribe medications, monitor, and review of drug regimen for ACT enrolled individuals +… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary range: $68,640 - $99,023 Registered Nurse General Pediatrics Office Work schedule: Monday - Friday 8:00am - 4:30pm (with ... advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN),...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Humana (Albany, NY)
- …to improve the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient ... Medicaid criteria, iCare guidelines, and PA Department policies and procedures. + Review PA requests for inpatient medical stays, skilled nursing facility stays,… more
- Fresenius Medical Center (Troy, NY)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Marriott (Albany, NY)
- …workers' compensation losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if necessary, as required ... **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and...that may include multiple states. + Conducts first level utilization review per jurisdictional requirements. + Coordinates… more
- Albany Medical Center (Albany, NY)
- …scheduling patients for both in person and telehealth visits * Participate in nurse visits including medication review , education and follow-up; patient and ... parent education * Facilitates the utilization of resources to meet patient outcomes and contribute...for both in person and telehealth visits* Participate in nurse visits including medication review , education and… more
- Ellis Medicine (Schenectady, NY)
- …for the comprehensive integration of Discharge Planning, Performance Improvement and Utilization Review activities at patient, hospital, and system levels. ... as a RN in New York State. Experience: Previous Utilization Review , Quality Assessment, Discharge Planning or...the systems in which we work. * Serves as nurse consultant for Social Worker cases with Clinical or… more
- CenterWell (Clifton Park, 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...State requirements. + Current state license as a Registered Nurse . + 2 years of Home Health experience with… more
- Evolent Health (Albany, NY)
- …with call center staff. Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process. + ... Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not… more
- Albany Medical Center (Albany, NY)
- …Per Diem (United States of America) Salary range: $33/hr. - $47.60/hr. Registered Nurse (RN) General Pediatrics Office - Albany, NY Per Diem, minimum 24hrs required ... advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN),...* Performs venipuncture per order of MD/APP * Performs review and triage of incoming test results, patient requests… more
- Albany Medical Center (Albany, NY)
- …own team, manages, and maintains staff assignments, hires and performs employee review , trains, and coaches' staff as needed, develops and reports department ... In conjunction with clinical perioperative leadership, identify standardization and utilization opportunities. + Define business requirements for supplies, implants,… more
- Albany Medical Center (Albany, NY)
- …Responds to changes in work efficiently and effectively. + Support implementation and utilization of clinical nursing research. + Promote the use by colleges and ... and procedures, while engaging in and advocating for succession planning for nurse leaders. + Establishes standards for all department personnel by having… more