- 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, ... have a New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… 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
- Centene Corporation (New York, NY)
- …NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... calls; managing them in a professional and competent manner. Processes all prior authorizations to completion utilizing appropriate review criteria. Identifies… more
- Elevance Health (Woodbridge, NJ)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? Summary: + The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to ... for competent professional nursing practice as specified in the Clinical Nurse 2 position description. The ... - NJ (Required) + Active New Jersey Registered Nurse License (required prior to first day… more
- Penn Medicine (West Windsor, NJ)
- …meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description. Exhibits PMPH organizational behavioral ... competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to: b....systems are based. Credentials: + Active New Jersey Registered Nurse License (required prior to first day… more
- Penn Medicine (Monroe, NJ)
- …Our employees shape our future each day. Are you living your life's work? Summary: + The Clinical Nurse 2 Colleague is an RN that practices as a full partner on ... safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge,... - NJ (Required) + Active New Jersey Registered Nurse License (required prior to first day… more
- Atlantic Health System (Morristown, NJ)
- …complies with all state and federal medical regulations. + Consult with the Clinical Nurse Manager, Occupational Health Medical Director, and /or collaborating ... + Must be proficient in Microsoft Office Suite + Prior experience working with EMRs preferred. + Prior...to the employees. + Submits monthly reports to the clinical nurse manager, department administrative assistant, company… 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. ... five years) are determined by the Education Loan Repayment Services office after review of the EDRP application. Former EDRP participants ineligible to apply. Duties… more
- Veterans Affairs, Veterans Health Administration (Lyons, NJ)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse or physician for appropriateness and conformity ... qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave:...patient information. Completed work should need only a general review by a registered nurse (RN) or… 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)
- …9. Monitors institutional information technology infrastructure and corrects gaps in clinical nurse documentation. 10. Leads staff participation in quality ... **Job Description** The Nurse Manager is responsible for the management of...includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply… 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
- Sharecare (Trenton, NJ)
- … helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… 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
- Project Renewal, Inc. (New York, NY)
- Title: Nurse Care Manager for Drug User Health Services...+ Ability to speak and write in Spanish + Prior clinical experience working with patients with ... C infection. Position Overview: Project Renewal is seeking a Nurse Care Manager (NCM) for Drug User Health Services...Health. The ideal candidate must possess not only the clinical knowledge and skills to participate in individual patient… more
- YAI (Manhattan, NY)
- …to live, love, work, and learn . We are currently seeking a Registered Nurse Supervisor in our residential system. The ideal candidate will have experience in the ... of direct care staff in the monitoring of the medical systems. Additionally, the nurse will participate in team meetings and provide medically related in services to… more
- CVS Health (Trenton, NJ)
- …frontline advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management ... - Management of warm transfers form concierge and engagement hub - Provides clinical assistance to determine appropriate services and supports due to member's health… more
- Trinity Health (Langhorne, PA)
- …significant abnormal findings and problems to the physician and/or anesthesiologist. . Review chart for patient optimization and completeness prior to surgery. ... . Serve as a resource to nurse navigators for clinical decision making. . Performs other duties as assigned. **Our Commitment to Diversity and Inclusion**… more