- Novo Nordisk Inc. (New York, NY)
- …the CMCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other paramedical ... gain access and drive business impact by collaborating around the clinical management of patients and offering NNI-approved solutions Demonstrates professionalism… more
- Molina Healthcare (New York, NY)
- …**Preferred Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Molina Healthcare (Corona, NY)
- …review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is...years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent… more
- Molina Healthcare (Corona, NY)
- JOB DESCRIPTION Job Summary The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for verifying ... least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Molina Healthcare (Corona, NY)
- …standing. Preferred Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of ... and compliance with all state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence based clinical… more
- Molina Healthcare (Corona, NY)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... New York to be eligible for consideration. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …reviews in accordance with VHA guidelines. Reports adverse events and participates in clinical review processes as required. Preferred 2-3 years of NP experience ... NY Harbor Healthcare System (NYHHS) is seeking a full-time Nurse Practitioner for its Pain Clinic, within Primary Care....Primary Care, Medical, Surgical in both inpatient and outpatient clinical settings to provide a full range of services… more
- City of New York (New York, NY)
- …level of functioning and self-sufficiency by providing comprehensive, integrated, individualized clinical and support services. CAS works with other programs at HRA ... Services (VPS) Unit is recruiting for two (2) Psychiatric Nurse Practitioner for the roles below. Under the supervision...1. Obtain referrals and schedule for evaluations from the Clinical Intake Unit for assignment of cases. Coordinate time… more
- Veterans Affairs, Veterans Health Administration (New York, NY)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The nurse anesthetist is an advanced practice nurse (CRNA). Within this role, under the supervision of an Attending Anesthesiologist, the ... of Science degree in NursingMasters Degree in Nursing with a specialization in nurse anesthesia preferred or a graduate of an accredited program in Nurse… more
- IQVIA (New York, NY)
- …written English. + Must possess a valid driver's license and will be subject to a review of driving record prior to hire. + Must complete a drug screening and ... Mobile Nurse Practitioner - Per Diem, In-Home Services **Location:**...within designated geographic area) **About the Role:** IQVIA's In-Home Clinical Solutions team seeks a qualified and dedicated Mobile… more
- YAI (Bronx, NY)
- …love, work, and learn . We are currently seeking a Supervisor - Registered Nurse for our Residential Programs in the Bronx! The ideal candidate will have experience ... and all medical systems for their region. Additionally, the nurse will participate in team meetings and provide medically...to Program staff, including direct care employees and other clinical leadership. YAI's Mission Ready to join our 4,000+… more
- Mount Sinai Health System (Elmhurst, NY)
- …on the patient's medical record that the anesthesia machine and equipment were checked. Prior to use, the Nurse Anesthetist shall inspect the anesthesia machine ... the patient, the Nurse Anesthetist, and other healthcare providers. 10. The Nurse Anesthetist shall participate in the ongoing review and evaluation of the… more
- Deloitte (New York, NY)
- … registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG ... to work on multiple projects leveraging your education and prior work experience to help our clients more confidently...medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical … more
- Centene Corporation (New York, NY)
- …be working with our Children member's - ages 0-18.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance ... the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans… more
- Mount Sinai Health System (New York, NY)
- …preferred. + Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign ... of Risk Management, conducts investigations, which includes assessing need for focused review by departments, and or clinical chairpersons for peer reviews.… more
- Northwell Health (Lake Success, NY)
- **Req Number** 169628 Job Description Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the ... ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical… more
- Select Medical (New York, NY)
- …highly effective level of care. **Qualifications** **What we're looking for in a Clinical Liaison** **Required Skills:** + Registered Nurse (RN) or Respiratory ... License. + Will consider other designations like LPN, PT, OT etc., upon further review . + Ability to complete clinical assessments of medically complex patients.… more
- Select Medical (New York, NY)
- …highly effective level of care. **Qualifications** **What we're looking for in a Clinical Account Manager** **Required Skills:** + Registered Nurse (RN) or ... + Will consider other designations like LPN, PT, OT, etc., upon further review . + Ability to complete clinical assessments of medically complex patients.… more
