Remote utilization review nurse jobs in Corona, NYCreate job alerts

In this role, the Registered Nurse (RN) will be responsible for providing evaluation, diagnosis ... Review incoming referrals and update medical chart + medical tracking * Schedule medical ...

: 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 ...

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25154 B) Minimum of 1-3 years of experience in utilization review/appeals background Greenlife Healthcare Staffing is currently seeking a ...

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: 12/17/2024 * Duration: 9 weeks * 40 hours per week * Shift: 8 hours, evenings, nights * Employment Type: Travel Host Healthcare is an award-winning travel healthcare ...

... 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 ...

Nurses with experience in any of the following areas are strongly encouraged to apply ... 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 ...

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 ...

... 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 ...

Utilize evidence-based strategies to prevent hospitalization and inappropriate ER utilization ... Review and authorize service requests according to workflows and timelines. * Collaborate with ...

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 ...

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 ...

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

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 ...

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 ...

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

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 ...

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 ...