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Conducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to maintain the member safe in the community. Identifies solutions that promote high quality and cost-ef...

Directs plans, evaluates, and coordinates Behavioral Health and Social Care needs for multiple lines of business including HIV-SNP -HCBS/HARP, MAP, MAPD, and DSNP Plans. Demonstrates a commitment to delivering high-quality, personalized Behavioral Health services, placing member needs and recover...

Direct supervision of the Clinical Nurse Reviewer staff, oversee the clinical team and operational functions related to the review of clinical records and service appeals for purposes of providing clinical summaries on clinical appeals. Under the direction of the director, is responsible for the ...

$108,400.00-$173,400.00 Company Overview The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our...

Compass Healthcare Consulting & Placement is conducting a search for an experienced RN Director of Case Management, for a Hospice located in the Bronx, NY. This is an opportunity to support quality care, working with a team of clinical staff and healthcare leaders to achieve optimal patient outco...

Summary of Position Direct supervision of the Clinical Nurse Reviewer staff, oversee the clinical team and operational functions related to the review of clinical records and service appeals for ...

... Inquiries/Appeals. * Provides training and support to clinical peers. * Identifies and refers ... Minimum 3 years clinical nursing experience. * Minimum one year Utilization Review and/or Medical ...

Works collaboratively with physicians and managed care companies on concurrent denial appeals ... Current NYS RN nursing license. * CCM certification preferred. Re-credentialing of CCM status ...

... appeals for inpatient denials with attending physicians and insurance providers • Ensuring ... Current NYS RN license * Bachelor's degree in Nursing (BSN) * 3-5 yrs Acute Care RN nursing ...

Registered Nurse, RN with Director level Hospice/Hospital Case Management, experience required ... Engage with payors and vendors in the management and tracking of denials and appeals, as ...

... Nurse Practitioner to join their talented team . Group provides medical, cosmetic, and surgical ... With access to quality schools and healthcare, it's an appealing place for families and individuals ...

Overview The Registered Professional Nurse is responsible and accountable for prescribing, delegating and coordinating all nursing care as defined by The New York State Nursing Practice Act and the ...

We are seeking an experienced and compassionate Registered Nurse to work in our Adult Day Treatment facility. Schedule: M-F, 08:30am-03:30pm Location: Bronx, NY 10461 Responsibilities * Perform the ...

As Clinical Nurse Specialist, you will be working within the Acute Outpatient Cancer Center. Priorities include nursing professional development, chemotherapy education and support system for ...

Registered Nurse - Inpatient Psychiatry - Young Adult/College Unit - Full Time Nights In this role, the Registered Nurse will be working with young adults, ages 18-29, with emerging psychiatric ...

The nurse will have the unique opportunity to engage with participants who have found themselves in precarious situations that have negative impacts on their physical and mental wellbeing. The nurse ...

... Nurse Practitioner. Monday to Friday, from 9:00 a.m. to 5:00 p.m. H1 Visa sponsorship available ... The recreational and sporting activities available in New York City are endless, appealing to all ...

As a registered nurse at Atria as part of the home services team, you will be providing personalized, exceptional health care to our members. Your essential job duties will include the following

The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others

We are looking for a Registered Nurse to perform non-invasive services and treatments including but not limited to: Laser Hair Removal, Injectables, Ultherapy Skin Lifting, Cool Sculpting and Skin ...

Job Summary A registered professional nurse is responsible for the diagnosis and treatment of human responses to actual or potential health problems through such services as case finding, health ...

Talent4Health is seeking a local contract nurse RN Outpatient Surgery for a local contract nursing job in New York, New York. Job Description & Requirements * Specialty: Outpatient Surgery

Registered Nurse (RN) Riverdale-New York RiverSpring Living is seeking a Registered Nurse to join our dynamic team of professionals at our skilled nursing facility at the Hebrew Home at Riverdale

This means you have countless ways to make a difference as a Registered Nurse. Being a part of something this great, starts by carrying out our mission every day through your true calling: developing ...

Discipline: RN * Start Date: ASAP * Duration: 14 weeks * 36 hours per week * Shift: 12 hours, nights * Employment Type: Travel Estimated payment breakdown ~$2610.00-$2682.00/wk* ~$576.00-$648.00 in ...

REGISTERED NURSE (RN) Who We're Looking For Spectrum Vision Partners ("SVP") and OCLI Vision ("OCLI") work together to provide world class eye care to our patients to improve lives. SVP, the ...

Job Description Summary An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite ...

LanceSoft is seeking a travel nurse RN Administrative for a travel nursing job in Brooklyn, New York. Job Description & Requirements * Specialty: Administrative * Discipline: RN * Start Date: 03/03 ...

Home Infusion Registered Nurse - Accredo Take your nursing skills to the next level by helping to improve lives with Accredo, the specialty pharmacy division of Evernorth Health Services. We are ...

The RN will: * Uses nursing process to make continuing assessments of the individuals with developmental disabilities total health needs. * Maintain direct interaction with consumers on a regular ...

Registered Nurse - Infertility Location: 4510 16th Ave. Brooklyn, NY 11219 Hours: Full-Time (Hybrid) Training Period: (2-4 months) * 8am-6pm Monday - Thursday Post-Training Period: (2-4 months) * 9 ...

Duties Description As a Registered Nurse 2 (Community), you would directly provide, oversee, and coordinate nursing and health related care services for a caseload of individuals in a community ...

Discipline: RN * Start Date: 03/03/2025 * Duration: 14 weeks * 42 hours per week * Shift: 14 hours, nights * Employment Type: Travel Travel Nursing: Pediatrics New York, NY Location: New York, NY ...

Wound Care Registered Nurse (RN) Shift Length : 8 hours Guaranteed Hours : 37.5 hours per week Shift : Monday to Friday (8:00 AM - 4:00 PM or 9:00 AM - 5:00 PM) Floating Requirements : Float within ...

Our client is seeking a Home Health RN in Bronx NY. This is a full-time position with benefits. Position Overview The Registered Nurse reports to the Regional Clinical Field Operations with ...

As an RN, you will provide comprehensive nursing support and patient care in an outpatient primary care setting. You will have a wonderful opportunity to learn and support a variety of medical ...

Active NJ RN License or Multistate RN License with NJ Endorsement * BLS certification through American Heart Association * Graduate from an accredited NLN School of Nursing Scheduling Requirements

Job Overview - Registered Nurse (Outpatient Clinic): Advance your nursing career as a Registered Nurse (Outpatient Clinic) in Jersey City, NJ. In this fast-paced clinic setting, you'll collaborate ...

The Registered Nurse provides coordinated medical and health services under the supervision of the charge nurse and director of medical at the RTF. Responsibilities * Assess medical complaints

Two (2) years' experience as a registered nurse. Job Type: Per Diem

Registered Nurse - Primary Care Jersey City, NJ Contract-to-hire 8-hour shifts Days Benefits: Medical/Dental/Vision Benefits, 401k, and Weekly Pay Job Description: A community health center in NJ is ...

: We are seeking a dedicated and skilled Registered Nurse (RN) for a clinic/ambulatory assignment in Elmhurst, NY. The ideal candidate will have strong oncology and medical/surgical experience, along ...

Apply the nursing process to assess the six prescribed NFP domains, including physical, emotional, social and environmental needs of women and their families as they relate to health and life course ...

We are currently seeking a dedicated and experienced RN Emergency Room to join our team at Lifeline Healthcare Professionals in Bronx, NY 10467. As an RN in the Emergency Room, you will be ...

The Montefiore RN maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy ...

Center Nurse Location: 1316 Castle Hill Ave Bronx, NY 10462 Salary: $89,600 to $107,600* * Does not include additional forms of compensation including bonuses, overtime, etc. Role Description The ...

Registered Nurses (RN) are caring, positive healthcare professionals who work as part of an interdisciplinary team to provide medical care to our clients so they can lead safe, full, and independent ...

Community Healthcare Network is looking for a Full-Time RN II to assist the clinic clients in addressing health problems; executes physicians' orders; diagnoses and treats human responses to actual ...