- Elevance Health (Latham, NY)
- ** Clinical Review Nurse I - Medicare Part A** **Location:** This role enables associates to work virtually full-time, with the exception of required ... for Medicare and Medicaid Services to transform federal health programs. The ** Clinical Review Nurse I** is responsible for reviewing and making medical… more
- Evolent (Albany, NY)
- …staff and Field Medical Directors. **What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not pass the ... for the culture. **What You'll Be Doing:** As a Clinical Reviewer, Nurse , you will be a...record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities… more
- Sharecare (Albany, NY)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals ... and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Fresenius Medical Center (Amsterdam, NY)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Saratoga Springs, NY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CDPHP (Albany, NY)
- …The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior authorization. This includes ... with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care...to provide excellent customer service. + Demonstrated ability to review health care delivery against established criteria. + Must… more
- Albany Medical Center (Albany, NY)
- …(United States of America) Salary Range: $76,396.32 - $126,730.61 A Pre-Admission Testing Nurse plays a crucial role in ensuring the safe and efficient preparation ... prepared for their procedures. Attention to detail, strong communication skills, and clinical expertise will contribute to the overall quality of care provided to… more
- Elevance Health (Latham, NY)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… 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
- Bassett Healthcare (Cobleskill, NY)
- …discuss specific positions in our conversations. What you'll do The Registered Professional Nurse (RN), Acute Care in the Emergency Department is accountable for the ... needs. The RN contributes to the support of patients through interdisciplinary teamwork. Registered Nurse I: The RN I status is only appropriate for a new nurse… more
- Bassett Healthcare (Cobleskill, NY)
- …enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, 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
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- Summary The Albany VAMC is looking to fill (1) Registered Nurse - ACCREDITATION QUALITY SPECIALIST position. You will be expected to travel for this position. You ... with driving requirements for this position. Responsibilities The Registered Nurse Accreditation Quality Specialist executes leadership that is characterized by… more
- Saratoga Hospital (Ballston Spa, NY)
- …health education to patients and their families, as well as other members of the clinical team. All physicians and nurse practitioners take inpatient call for a ... General Surgery and Emergency Medicine. The hospital and our practices are also clinical rotation sites for regional Nurse Practitioner and Physician Assistant… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Responsibilities The Inpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to patients with oversight of licensed… more
- Helio Health Inc. (Gloversville, NY)
- …order to support our mission, Helio Health is seeking a Registered Nurse (RN)to work on aFull-Timebasis for ourFulton Co Comprehensive Outpatient ProgramProgram. The ... Registered Nurse (RN) will provide comprehensive treatment to those affected...for continuity of patient medical care. + Communicate with clinical staff regarding patients' medical concerns. + Work directly… more
- Trinity Health (Latham, NY)
- … Manager - Orthopedics Office - Latham, NY** If you are looking for a Clinical Nurse Manager position in Orthopedic medicine, this could be your opportunity. ... tuition allowance and career development **What you will do:** The Manager of Clinical Care is directly responsible for the daily supervision of the clinical… more
- Trinity Health (Clifton Park, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse - RNII -Vein Center- Capital Region - Full Time** If you are looking for an RN II ... the offices in Troy, Clifton Park and Albany. Registered Nurse position in a accredited vein center, providing care...vital signs and documents in electronic medical record. + Review and update medication list to ensure accurate and… 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...plan of care based on history, physical examination, and clinical findings. Identifies needs of the individual, family, or… more
- CVS Health (Albany, NY)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to...**Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more
- CVS Health (Albany, NY)
- …clients - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... needs to ensure appropriate administration of benefits - Applies clinical judgment to the incorporation of strategies designed to...**Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more