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At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Sub-Acute RN UM Reviewer - Medicare to join #TeamMVP. If you have a passion for patient-centered advocacy, clinical precision and regulatory compliance this is an opportunity for you. What's in it for you: • Growth opportunities to uplevel your career, • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team, • Competitive compensation and comprehensive benefits focused on well-being, • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace. Qualifications you'll bring: • Current and unrestricted NY & VT RN licensure, • Associate or bachelor's degree in nursing (BSN preferred), • Minimum 3 years of clinical nursing experience, • At least 2 years of experience in utilization management of sub-acute Medicare reviews, • Experience with Medicare guidelines and documentation standards preferred, • Strong knowledge of sub-acute care, rehabilitation, and skilled nursing services, • Proficiency in interpreting medical records and applying medical necessity criteria, • Understanding of discharge planning process and transitional care needs, • Excellent communication, critical thinking, and organizational skills., • Experience with electronic medical record (EMR) systems and UM platforms., • Familiarity with CMS regulations and appeals processes., • Ability to work independently and manage multiple priorities., • Curiosity to foster innovation and pave the way for growth, • Humility to play as a team, • Commitment to being the difference for our customers in every interaction Your key responsibilities: • Conduct timely and accurate utilization reviews for sub-acute Medicare cases., • Evaluate medical necessity, level of care, and appropriateness of services based on established criteria and guidelines., • Support and assess discharge planning efforts to ensure continuity of care and appropriate post-acute services., • Collaborate with providers, facilities, and interdisciplinary teams to ensure optimal patient care and resource utilization., • Document review outcomes and maintain compliance with regulatory and organizational standards., • Participate in audits, quality improvement initiatives, and training sessions., • Maintain current knowledge of Medicare regulations and UM best practices., • Other duties as assigned by leadership., • Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual in NYS Pay Transparency MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role. We do not request current or historical salary information from candidates. MVP's Inclusion Statement At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration. MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications. To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Rotating Days/Nights; 12-hour shifts; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Day/Evening/Night, rotating weekends and holidays.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to m

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Rotating D/N shifts, 7a-7p or 7p-7a; Every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going ab

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Rotating D/N shifts, 7a-7p or 7p-7a; Every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going ab

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Registered Nurse - Inpatient Oncology/Hematology.Inpatient Oncology/Hematology (Sands 600).Day/Evening/Night, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every singl

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Nights 11p-7a; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

Day/Evening/Night, every other Weekend/Holiday.As a Registered Nurse (RN), you are the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Nights 11p-7a; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.At Bridgep

Rotating D/N shifts, 7a-7p or 7p-7a; Every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going ab

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

Registered Nurse - Acute General Medicine.DAYS, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and v

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values.These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.As an inte

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

Employment Type:* Full time 12 Hour Day Shift Sunnyview Rehabilitation Hospital is a 115-bed acute hospital specializing in physical rehabilitation.Each patient has a dedicated team of physicians, nurses, therapists and specialists all focused on one goal taking back what w

A mix between Day/Evening (7am-7pm) and Evening/Night (7pm-7am), rotating weekends and holidays.Note: Orientation is full time*.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of o

Employment Type:* Full time Weekend Shift *Will Consider New RN Grads If you are looking for a

Nights 11p-7a; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet

PRN Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 12/01/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Trav

Rotating Days/Nights; 12-hour shifts; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going a

Access Healthcare is seeking a travel nurse RN Stepdown for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: Stepdown Discipline: RN Start Date: 11/03/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Access Healthcare Job ID 7

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

Nightingale Nurses is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 12/01/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, evenings Employment Ty

Nights 11p-7a; every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet

Access Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 12/01/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: T

Registered Nurse - Inpatient Oncology/Hematology.Inpatient Oncology/Hematology (Sands 600).Day/Evening/Night, Every Other Weekend, Every Other Holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every singl

Starting Hourly Rate / Salario por Hora Inicial: $17.Working at Target means helping all families discover the joy of everyday life.We bring that vision to life through our values and culture.Seasonal Specialty Sales Roles: A sales force of specialized consultants who provide tailored suggestions an

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

Starting Hourly Rate / Salario por Hora Inicial: $17.Working at Target means helping all families discover the joy of everyday life.We bring that vision to life through our values and culture.Seasonal Specialty Sales Roles: A sales force of specialized consultants who provide tailored suggestions an

Days 7a-3p, every other weekend and holiday.As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet th

Excel Medical Staffing is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 11/03/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect a

Olaro is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Utica, New York.Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Start Date: 10/27/2025 Duration: 8 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel 45395