Utilization review nurse jobs in Corona, NYCreate job alerts

The RN is a member of a designated health care team and collaborates, coordinates and guides team ... Assures proper cost-effective utilization of resources. * Maintains an environment that is ...

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 ...

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 ...

The Field RN is a Registered Professional Nurse who will manage all aspects of patient care related to services provided in the home. Job Qualifications: * NYS RN License * Entry level welcome * Must ...

... 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 ...

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 ...

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 ...

... 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 ...

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 ...

Talent4Health is seeking a travel nurse RN Care Manager for a travel nursing job in New York City ... Utilization Review, and Discharge Planning About Talent4Health A leader and innovator, offering ...

Utilization Review (UR) is a separate dept- UR will do insurance approvals and arranging ... Registered Nurse - Utilization Review/CDI About Tact Staff Our nurses choose Tact assignments ...

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 ...

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 ...

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 ...

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

... nursing facilities based on clinical criteria. The position also involves reviewing outcomes, coding, and utilization data to enhance participant health and reduce unnecessary utilization. Benefits

Annually evaluate Psychiatrist and Psychiatry Nurse Practitioner * other health care professionals ... Participate in Utilization reviews and remaining available for emergency consultations. • Analyze ...

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 ...

... providers and nursing staff. Required Qualifications * NY medical license as an MD or DO ... Participate in utilization and peer review programs which evaluates the quality of the medical ...

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 ...

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 ...