- Jobleads-US (Saddle Brook, NJ)
- …knowledge of workers' compensation policy and manage incidents, and dispatch nurse case managers as necessary. Collaborate closely with Risk Management leadership ... and pursued and manage lien recovery on case-by-case basis. Participate in claims review process and monitor claims handling process by carriers and TPAs; provide… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …weekend holiday rotation **Role Overview:** + Work under the supervision of a Clinical Nurse and assist our patients in a timely, and efficient manner + Handle ... 1275 York Avenue, New York, NY + Reporting to: Nurse Leader **Helpful Links** : + MSK Compensation Philosophy (https://careers.mskcc.org/frequently-asked-questions/)… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …Assess discharge planning needs at the patient's admission + Perform regular concurrent review on all patients and coordinate all needed services including home care ... and acquire authorizations for treatment **Key Qualifications:** + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3 years of… more
- Elevance Health (Morristown, NJ)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse | Review Medical Malpractice Claims for NYS (6402) Occupational Category Legal Salary Grade NS ... Analysts assigned to the Claims Bureau will analyze and review claims containing allegations of medical malpractice; assist attorneys...and be registered to practice as a registered professional nurse or licensed physician in New York state. It… more
- Molina Healthcare (Yonkers, NY)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and internal ... appeals review activities - ensuring alignment with applicable state and...equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in… 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 ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The Advanced Practice Nurse (APN) utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, ... nursing program. 2. Master's or Doctorate degree from an accredited Nurse Practitioner program. 3. Maintains clinical competencies through continuing education and… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Attorney General, Office of the Title Legal Nurse : Investigate Medicaid Fraud/Patient Abuse (6400) Occupational Category Legal Salary Grade NS ... Qualifications: * A current New York State Registered Professional Nurse 's license; * A minimum of seven (7) years...needed, please include a cover page to provide the reviewer with any relevant context or background information.* Reference… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title : Nurse Practitioner- Cardiothoracic- Mount Sinai Hospital - Full Time - Night** A nurse practitioner (NP) as described in Title ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion… more
- Mount Sinai Health System (New York, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion… more
- Mount Sinai Health System (Long Island City, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. 11. Performs a patient record review with the collaborating physician in a timely fashion… more
- City of New York (New York, NY)
- …initiative, serves as a Head Nurse in the Bureau of Medical and Professional Review (BMPR) of Home Care Services Program. As the Head Nurse , they will ... Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and...Services Program (HCSP) is recruiting for one (1) Head Nurse , to function as a Head Nurse … more
- YAI (Manhattan, NY)
- …disabilities and their families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet ... on a weekly basis for supervision to review duties and responsibilities. + Accountable for the day-to-day...and followed as directed. + Assume duties of the nurse supervisor when needed and provide coverage for and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** A nurse practitioner (NP) as described in Title VIII, Article 139 section 6910 of the New York Education Law is a RN who has earned a separate ... nursing education in a distinct specialty area of practice. Nurse practitioners are independent practitioners who diagnose, treat, and...the plan of care. 12. Performs a patient record review with the collaborating physician in a timely fashion… more
- Hackensack Meridian Health (Hackensack, NJ)
- **The post-graduate internal medicine fellowship for Nurse Practitioners is designed to provide Advanced Practice Nurses an opportunity to engage in both didactic ... the top medical centers in the nation. During the year-long fellowship, the Nurse Practitioner will rotate through a variety of patient care settings, including an… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... ICU RN experience preferred. + Licensed as a registered nurse with current registration in New York State +...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... process and its application + Licensed as a registered nurse with current registration in New York State +...Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review , Discharge Wrap Up, and MD/RN Unit Collaboration. 2.… more
- Mount Sinai Health System (Brooklyn, NY)
- **Job Description** The Offsite Registered Nurse is a Registered Professional Nurse who provides safe, competent, quality care based on nursing theory and ... **Licensing and Certification Requirements (if applicable** Licensed as a registered nurse with current registration in New York State Collective bargaining unit:… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health is Seeking a Per-Diem Nurse Practitioner for a Great Opportunity in New Jersey Atlantic Health System, one of New Jersey's largest non-profit ... healthcare systems is seeking a per diem Nurse Practitioner to be part of the Atlantic Corporate...request of the employee's primary care provider (PCP) + Review all "at work" injuries/illnesses with the employee, the… more
