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About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients. The Workers’ Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and at times, attorneys to support the appropriate return to work, the provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager. Primary Responsibilities • Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work, • Provides case management, utilization review, continued stay reviews, and based on clinical judgment and state WCB Medical Treatment Guidelines, • Knowledgeable and compliant with New York State Workers’ Compensation Law, Medical Treatment Guidelines, ERISA, HIPAA confidentiality requirements, and NY Formulary Review process, • Proven ability to anticipate claimant's treatment or recovery milestones, • Provides Case Management services, including assessing barriers to recovery and determining treatment alternatives, • Facilitates and expedites discharge planning as needed, • Produces accurate electronic records of individual cases, • Ensures timely, cost-effective medical care for injured workers' recovery, • Answers provider calls and assists with Casualty Department workload as necessary, • Kind, caring, and positive with all customers and fellow employees, • Adheres to established quality assurance standards and MagnaCare policies and procedures Essential Qualifications • Currently licensed Registered Nurse in the state of NY, or the ability to obtain, • Maintain current licensure(s) and specialty certifications that are relevant to this position; CCM is encouraged, • Minimum 1 year experience in worker’s compensation case management, • Bachelor’s degree preferred, • Minimum of 4 years’ experience in a clinical environment required, • Strong skills in medical assessment/medical record review, • Excellent customer service skills, • Ability to define and solve problems, collect data, establish facts and make effective decisions a must., • Must be detail oriented and have strong organizational and time management skills, and the ability to work independently., • Ability to work proficiently on a computer (PC) with working knowledge of Microsoft Office, especially Word, Excel Teams, and Outlook Powered by JazzHR zEGYw9cEHB

Job DescriptionAbout The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients. The Workers’ Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and at times, attorneys to support the appropriate return to work, the provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager. Primary Responsibilities • Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work., • Provides case management, utilization review, continued stay reviews, and based on clinical judgment and state WCB Medical Treatment Guidelines., • Knowledgeable and compliant with New York State Workers’ Compensation Law, Medical Treatment Guidelines, ERISA, HIPAA confidentiality requirements, and NY Formulary Review process., • Proven ability to anticipate claimant's treatment or recovery milestones., • Provides Case Management services, including assessing barriers to recovery and determining treatment alternatives., • Facilitates and expedites discharge planning as needed., • Produces accurate electronic records of individual cases., • Ensures timely, cost-effective medical care for injured workers' recovery., • Answers provider calls and assists with Casualty Department workload as necessary., • Kind, caring, and positive with all customers and fellow employees., • Adheres to established quality assurance standards and MagnaCare policies and procedures.Essential Qualifications, • Currently licensed Registered Nurse in the state of NY, or the ability to obtain., • Maintain current licensure(s) and specialty certifications that are relevant to this position; CCM is encouraged., • Minimum 1 year experience in worker’s compensation case management., • Bachelor’s degree preferred., • Minimum of 4 years’ experience in a clinical environment required., • Strong skills in medical assessment/medical record review., • Excellent customer service skills., • Ability to define and solve problems, collect data, establish facts and make effective decisions a must., • Must be detail oriented and have strong organizational and time management skills, and the ability to work independently., • Ability to work proficiently on a computer (PC) with working knowledge of Microsoft Office, especially Word, Excel Teams, and Outlook. Powered by JazzHR zEGYw9cEHB

Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. Fresenius Medical Care North America maintains a drug-fre

PROOFREADER - FOR CPA FIRM Possesses 3-5 years' experience in proofreading in a professional services firm.This position supports the firm's word processing department.Responsibilities: Read a variety of financial documents prepared by the word processing department including audits, compilations an

Manages patient care in home therapies programs while maintaining cost-effective clinical operations.Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure that the highest standard of care is provided.Collaborates with the Business Unit

Review claims denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.

Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. Maintains integrity of medical and operations records and complies with all data collections and auditing activities. Fresenius Medical Care North America maintains a drug-f

Qualified candidate will have five (5) years progressive healthcare management and business administration, Bachelors degree and Medical Coding Certification. Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity, when necessary, impleme

Prime Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Queens, New York.Job Description & Requirements.Minimum 2 years of recent PCU or step-down experience required.Active NC or Compact RN License.BLS, ACLS (with expiration dates).All time-off requests m

Holliswood Center is hiring a Registered Nurse (RN) Unit Manager in Hollis, NY.Now Offering $5,000 Sign-On Bonus.Tuition Reimbursement for Advanced Education!.Handle all supervisory duties for assigned unit.Help establish and implement employee policies and procedures.Mentor less experienced nurses,

Prime Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Queens, New York.Job Description & Requirements.Minimum 2 years of recent PCU or step-down experience required.Active NC or Compact RN License.BLS, ACLS (with expiration dates).All time-off requests m

What do we do? Medical Solutions is one of the nation's largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. At Medical Solutions, you'll find a great

Holliswood Center is hiring a Registered Nurse (RN) Supervisor in Hollis, NY for the.Now Offering $5,000 Sign-On Bonus.Tuition Reimbursement for Advanced Education!.Complete resident care requirements by scheduling and assigning nursing staff.Establish a compassionate environment by providing suppor

Care Team Solutions is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Roslyn, New York.Job Description & Requirements.Registered Nurse must have 2+ years of recent experience in particular specialty.Must Have 2+ Years of recent Interventional Radiology experience.Six

Provides high quality nursing care to meet the needs of the patient and manages/coordinates the delivery of multidisciplinary health care services for a caseload of patients.We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws.W

Registered Nurse (RN) Floor Nurse Evening Shift at Centers Healthcare summary:.The Registered Nurse (RN) Floor Nurse at Beth Abraham Center provides essential healthcare services for residents during the evening shift, focusing on monitoring health, administering medications, and ensuring quality ca

Nurse Practitioner/Physician Assistant - Per Diem at Albany Medical Center summary:. Welcome to Albany Medical Center, providing excellent care to our community each day. Able to quickly master all aspects of a computerized medical recordkeeping and billing system.

Registered Nurse Care Manager / Case Management (RN) at Centers Healthcare summary:.The Registered Nurse Care Manager at Williamsbridge Center oversees resident care in a skilled nursing facility, providing support and monitoring to ensure the highest quality of life.Responsibilities include adminis

Assistant Nurse Manager at Albany Medical Center summary:. Thank you for your interest in Albany Medical Center!. Albany Medical is an equal opportunity employer.

Registered Nurse-ICU-Weekend Shift at Centers Healthcare summary:.Beth Abraham Center is seeking a compassionate Registered Nurse (RN) Supervisor for weekend shifts at our skilled nursing facility in The Bronx, NY.The RN will oversee nursing staff, ensure resident care standards, and maintain compli

The Nurse Practitioner/Physician Assistant at Albany Medical Center provides exceptional care in urgent and emergency settings. Welcome to Albany Medical Center, providing excellent care to our community each day. Able to quickly master all aspects of a computerized medical recordkeeping and billing

Registered Nurse - Renal Dialysis Unit at Centers Healthcare summary:.Centers Dialysis Care is seeking Registered Nurses for their dialysis units in Brooklyn, NY.The role involves collaborating with an interdisciplinary team to monitor patient care, administering treatments, and ensuring individuali

Medical/Surgica Pulmonary Renal Hospitalist - E5. Thank you for your interest in Albany Medical Center!. Albany Medical is an equal opportunity employer.

The Registered Nurse promotes and restores patient's health by completing the nursing process: collaborating with Physicians and multidisciplinary team members: providing support to patients, visitors and families.Responsible for assessing, planning, promoting and evaluating quality patient care.A R

Assistant Nurse Manager: E5: Pulmonary/Renal at Albany Medical Center summary:. Medical/Surgica Pulmonary Renal Hospitalist - E5. Thank you for your interest in Albany Medical Center!.

Knowledge of medical, social, & psychological needs of residents, general nursing theory & practice, & infection prevention principles/methods.

This per diem position at Albany Medical Center seeks a Nurse Practitioner or Physician Assistant to conduct patient assessments, maintain medical records, and lead clinical staff in a fast-paced environment. Maintain accurate and detailed patient medical reports. Able to quickly master all aspects

Help medical assistants in patient assessments.

Assistant Nurse Manager - Critical Care Float Pool at Albany Medical Center summary:. Thank you for your interest in Albany Medical Center!. Albany Medical is an equal opportunity employer.

Registered Nurse - Medical at Centers Healthcare summary:. As a Registered Nurse at Williamsbridge Center, I provide essential medical care and support to residents in a skilled nursing facility.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Assistant Nurse Manager, nursing

Experienced Project Manager - Farmingdale, NY .Exterior Facade, Building Envelope, Curtainwall .Construction Project Management experience a must.Salary negotiable, based on experience.

Assistant Nurse Manager - Critical Care Float Pool at Albany Medical Center summary:. Thank you for your interest in Albany Medical Center!. Albany Medical is an equal opportunity employer.

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, lega

Assistant Nurse Manager at Albany Medical Center summary:. Thank you for your interest in Albany Medical Center!. Albany Medical is an equal opportunity employer.

Review claims denials and rejections pertaining to coding and/or support of medical necessity, when necessary, implements corrective action plan (such as educational programs) to prevent similar denials and rejections from recurring.

Assistant Nurse Manager: E5: Pulmonary/Renal at Albany Medical Center summary:. Medical/Surgica Pulmonary Renal Hospitalist - E5. Thank you for your interest in Albany Medical Center!.

The management team has 20 years of experience in workforce solutions and staffing in medical and non-medical fields, roles ranging from Clerical job to Cardiologist to software developer to CEO. Benefits: Medical Insurance, Dental Insurance, Vision Insurance, 401(k) with company matching (50% up to

Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: 10/20/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Benefits Benefits start day 1 Holiday pay Weekly pay Retention bonus 401k retirement plan Medical benefits

As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. Familiarity working with electronic medical records.

Posted job title: RN About Core Medical Group CoreMedical Group is one of the largest healthcare staffing agencies in the country. In addition to dedicated, personalized support from your recruiter, when you work with CoreMedical Group you'll receive: Access to an extensive benefits package, includi

Medical, dental, vision, disability, life, and other benefits through Prestige PEO (our "PEO).

Attends a variety of meetings, conferences, and seminars as required or directed * Perform other similar and related duties as required or directed by manager Compensation/Benefits Highlights: * Competitive base pay and bonus rewards incentives * Generous PTO package and eight holidays per year *

Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: 10/13/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Benefits Benefits start day 1 Holiday pay Weekly pay Retention bonus 401k retirement plan Medical benefits Dental benefits Vis

CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Greets patients as they arrive and manage appropriate standard wait timesComplete check-in and check-out tasks to include insurance verification, complete pre-authorizations and/or precertification of procedu

Benefits That Fit Your Life: We offer major medical and supplemental insurance with a flexible cafeteria plan.

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. Assesses patients for their learning needs, follows them appropriately and