Remote utilization review nurse jobs in Astoria, NYCreate job alerts

Reviews complaints and grievances made or filed by staff. Makes appropriate reports to the Nursing Manager/charge nurse as required or as may be necessary. * Ensures that staff participates in and ...

: The Registered Nurse position is responsible for ensuring clinical planning, coordination ... Review patient charts for missing labs, reports, and/or open orders * Triage urgent same day or ...

A utilization nurse completes no less than 20 initial clinical reviews daily. Responsibilities also ... includes: • Completing 100% clinical reviews for managed care, Medicare and Medicaid admissions ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

Discipline: RN * Start Date: 12/16/2024 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Facility Details Facility: Please Contact for facility info Job ...

... RN Case Manager / TH Senior Staff Associate. The successful candidate will: * Review patient ... Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to ...

Talent4Health is seeking a travel nurse RN Care Manager for a travel nursing job in New York, New ... Experience with Care Coordination, Utilization review and discharge planning Computer literacy ...

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job ...

Discipline: RN * Start Date: 12/06/2024 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... to utilization reviews for a health plan or a combination of hospital and health plan case ...

... to ensure optimal utilization of services. * Ensure quality standards set by the external ... Provide ongoing review of emergency equipment, biological and medications in order to maintain ...

Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...

... on proper utilization of those medical devices. * Supervise procedures for students taking ... Review and maintain accurate and current health records in accordance with local governmental ...

Experience with Care Coordination, Utilization review and discharge planning Computer literacy required 1. RN Licensed as a Registered Nurse in the State of New York required. 2. Baccalaureate degree ...

Assess appropriate site of care utilization and continued medical necessity reviews for prior ... Graduate of an accredited 2-4 year nursing program * Active, unrestricted license to practice ...

Reviews member data to identify trends and improve operating performance and quality care in ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. * Follow up with assigned nurses for clinical updates to care plan. * Document within two business day ...

... and utilization of referral services, as part of the health care system. Assists in providing ... Reviews and analyzes trends pertinent to delivery of nursing care services and collaborates with ...

Qualified candidates will be a NYS RN with extensive experience within administration and clinical ... Actively participates in Quality Assurance/Performance Improvement and Utilization Review ...

Review and interpret screening and diagnostic observations and report findings to the project ... Familiarity with database utilization, regulatory compliance and human subject's protection issues

Document medical information of patients and review patient history at each visit * Request ... Remote-first culture401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...

Two days remote and 3 days in the field work week These are the highlights of the assessment nurse ... Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in ...

Complete a comprehensive review and assessment of a member's medical history, physical health ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, and ...

Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 37 hours per week * Shift: 8 hours, days * Employment Type: Travel We're seeking talented healthcare professionals whose ...