- Evolent (Albany, NY)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse - RNII -Vascular Surgery Office - Troy, NY - FT** If you are looking for an RN II ... position in a busy Vascular Surgery Office, this could be your opportunity. Here at...Office Hours **What you will do:** The **Registered Professional Nurse ** has the responsibility and accountability to utilize the… more
- Albany Medical Center (Albany, NY)
- …management. Works closely with the practice Administrator, Practice Coordinator(s), Nurse Supervisor and the Division/Department heads to establish and maintain ... in a management capacity in a medical office or clinical setting. + Must project a professional image, set...and systems for effectiveness and cost containment. + Regularly review and make recommendations to Administrator for updated employee… more
- Albany Medical Center (Albany, NY)
- …and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... assigned patients.* Discusses payor criteria and issues and a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.* Uses… more
- CenterWell (Albany, NY)
- …regarding Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special ... **When working weekends, it will allow for off-days during the week.** The ** Clinical Care Coordinator** helps to ensure optimal continuity of care for patients… more
- Trinity Health (Albany, NY)
- …in Pre-Admission testing have the support of comprehensive orientation developed by clinical nurse specialists in surgical nursing, on-site BLS classes, and ... surgery . This person also is responsible for medical review of charts and resolution of any diagnostic test...ongoing clinical education. The staff is highly involved in quality… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN - General Surgery - Albany, NY / Hybrid Remote - FT** If you are looking for an RN II ... with hybrid option based on weekly office needs. The **Registered Professional Nurse ** has the responsibility and accountability to utilize the nursing process to… more
- Nuvance Health (Rhinebeck, NY)
- … clinical consultative services for the non-medical inpatients including surgery , the rehabilitation service, and obstetrics. 4. Communicate regularly with ... Medical Director of Hospital Medicine is an academic and clinical faculty member of the Department of Medicine at...assure complete and accurate billing. 6. Participate in the review and quality assessment of inpatient medical records including… more