Trabajos remote utilization review nurse en New York, NYCrear alertas

We are seeking a talented individual for an Associate Manager, Clinical Claim Review who is responsible for supervising the day-to-day prepay, post-pay, and utilization review activities of a multidisciplinary team of Coders, Clinical DRG Auditors, and Nurse Reviewers. For remote positions employ...

Job Summary: • Review and evaluate the assessment and UAS information for members in the MLTC and ... nursing home admissions. • Identify opportunities to improve the quality of care by ensuring ...

... with medical review, utilization management, or case management. Technical Proficiency: • ... Remote Role. Pay Range - $40-$43/hr

Possession of a license and registration to practice nursing and 2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planning OR ...

Registered Nurse, RN with Director level Hospice/Hospital Case Management, experience required ... Develop, implement and evaluate case management programs, including utilization review, and ...

... services review, etc., following established MetroPlusHealth Utilization Management policies ... Knowledge of computer systems. #LI-REMOTE

Documents learning outcomes of patient/family and revises education plan Include utilization of EHR ... Engages in self assessment and peer review; utilizes resources to meet individual learning need 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 ...

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 ...

The position requires the nurse to perform case reviews and process all requests for elective ... Knowledge of Utilization management processes is required. * Prior managed care experience is ...

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 ...

... 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 ...

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 ...

Role Notes from Pontoon/Manager: - Temp to Perm potential - "Remote" role; The role is considered a ... Understands fiscal accountability and its impact on the utilization of resources, proceeding to ...

In this hybrid role, you'll conduct in-home and remote assessments for individuals seeking ... Review medical records and referrals to provide informed evaluations. * Accurately input and code ...

... 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 ensure effective development and execution of personalized care plans that result in ... the utilization of services and implements changes and adjustments to meet needs and goals

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 ...

Complies with infection control practices such as hand washing, proper utilization of PPE, etc ... Reviews work que/email of abnormal findings from radiologist. * Make appointment for follow -up ...

We are seeking a Registered Nurse RN Case Manager to join our team! You will be responsible for the ... fully remote * Diagnose and establish patient treatment plans * Monitor and report changes in ...