Trabajos utilization review nurse en Glen Cove, New YorkCrear alertas

Job Description RN Clinical Reviewer (Proofer) - Jericho, NY (#25289) Location: Jericho, NY Employment Type: Full-time, Temp-to-Hire Hourly Rate: $45/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: Greenlife Healthcare Staffing is seeking a meticulous Clinical Editor/Proofer Registered Nurse to ensure the accuracy, clarity, and compliance of NYS Dispute Resolution and External Review determinations. This role combines clinical expertise with editorial precision to produce error-free case documents, thereby improving team performance through error tracking and retraining. Why Join Us? • Competitive Compensation: Earn $45 per hour., • Comprehensive Benefits:, • Paid Sick Time, • Health insurance, • Benefits from Paychex, such as Payactiv, • GLHS is a great company to work for: 93% retention of employees 2 years+, Google reviews, great company culture, etc., • Work Schedule: Full-time (5 days per week), Temp-to-Hire position., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment, enhancing skills in clinical review and medical editing., • Impactful Work: Play a critical role in ensuring the accuracy and integrity of state-level healthcare dispute resolutions. Qualifications: • Education: Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program. Post-graduate studies demonstrating proficiency in writing, editing, and proofing skills are required., • Licensure: Must have an active NY State RN license., • Experience: Must have a minimum of 2 years experience in an acute care facility, preferably in medicine/surgery or special care units, and 1 to 3 years experience in acute care utilization review., • Technical Skills: Knowledge and experience with electronic medical records, including coding, quality, and clinical charting., • Soft Skills: Meticulous attention to detail, superior writing and editing skills, and the ability to problem-solve and work collaboratively with peers, medical, analytical, and administrative support staff. A writing sample or publication is required. Key Responsibilities: • Conduct a thorough review of pre-final dispute determinations using checklist tools., • Make clinical and mathematical edits to responses using provided case documentation, as necessary., • Consult with team members and supervisors as necessary to improve final product., • Complete edits check of content, references, grammar, spelling and punctuation before release of final product., • Maintain tracking and trending of errors and use findings to analyze areas of concern and highlight areas of improvement., • Will provide technical assistance and conduct/participate in staff huddles., • Other activities as may be deemed necessary How to Apply: If you are a detail-oriented RN with strong editorial skills ready to take the next step in your career, we want to hear from you! Submit your Resume/CV and a writing sample to or call our office at (800) 608-4025 to learn more about this opportunity. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Description As a Clinical Reviewer, you will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. You will utilize their knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process. Duties include but are not limited to: • Conduct utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required information and make level one denial decisions when necessary., • Conduct quality and clinical study data collection reviews. This includes chart review, complete detailed electronic data worksheets., • Act as a resource for the administrative staff in training, problem solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles., • Knowledge and experience with electronic medical records including utilization, quality, and clinical charting., • Ability to oversee, problem-solve, and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative. EDUCATION & EXPERIENCE: • New York State, Licensed Registered Nurse, required., • A bachelor’s degree in Nursing OR graduate of an approved Registered Professional Nurses training program and licensed to practice in the State of New York, required. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Job DescriptionRegistered Nurse – Nursing Home Surveyor / Complaint Investigator – New Rochelle, NY (#25141) Location: New Rochelle, NY Employment Type: Contract / Travel Hourly Rate: $45/hour About Greenlife Healthcare Staffing Greenlife Healthcare Staffing is a leading national recruitment agency committed to connecting skilled healthcare professionals with premier job opportunities. We partner with hospitals, nursing homes, clinics, and private practices to place candidates in roles that align with their career goals. Position Overview We are currently seeking an experienced Registered Nurse – Nursing Home Surveyor / Complaint Investigator for a Review Company based in New Rochelle, NY. In this dynamic contract/travel role, you will conduct regulatory compliance surveys, investigate complaints (including abuse/neglect), and help ensure safe, quality care in long-term care settings. Key Responsibilities • Conduct surveys, complaint investigations (including abuse/neglect), and surveillance in long-term care facilities, • Draft Statements of Deficiencies (SODs) using Principles of Documentation, • Evaluate compliance with Plans of Correction within required timelines, • Input findings into federal and state databases, • Participate in state monitoring during Immediate Jeopardy cases, • Attend staff meetings and provide testimony in administrative hearings as needed, • Comply with DOH schedules, policies, and procedures, • Travel to assigned facilities based on your work schedule Greenlife Healthcare Staffing Empowering Healthcare Professionals. Enriching Lives. Requirements Qualifications Education & Licensure: • Bachelor's degree in Nursing (preferred), • 2+ years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities, • 3+ years of clinical or administrative nursing experience, • BSN + 2 years of clinical or administrative experience, • SMQT Certification preferred (must obtain within 12 months), • ???? Competitive Pay: $45/hour, • ???? Mileage Reimbursement for travel, • ???? Flexible Schedule, • ✈️ Contract/Travel Position with real-world impact

Job Description In the Clinical Reviewer (RN) role, you will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. QUALIFICATIONS: • Strong analytical and communication (both written and verbal) skills., • The ability to work independently, as well as in a team environment., • The ability to prioritize reviews and projects to be completed., • Proficient in the use of standard office technology and basic Microsoft applications including Word and Excel., • Ability to gather and analyze information from records, reports, and other sources., • Current licensure as a registered professional nurse in New York State, required., • Baccalaureate degree in Nursing or graduate of an approved Registered Professional Nurses training program, required., • Four (4) years of clinical practice experience in a facility or community based setting including medical, surgical, and/or obstetrical experience, required., • Two (2) years of acute care hospital experience, required. The salary range and/or hourly rate listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status.

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN will communicate to the Interdisciplinary Team members any pertinent resident findings. Registered Nurse Unit Manager, RN will assist other staff members in completion of their

We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating

Travel Nurse, Case Manager, Utilization Review, Healthcare, RN, Nursing Jobs, Medical Solutions, Flexible Schedule, High Pay, Personalized Compensation. Travel Nurse RN - Case Manager, Utilization Review - $3,029 per week at Medical Solutions summary:. The Travel Nurse RN - Case Manager, Utilization

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN Job Summary. Registered Nurse Unit Manager, RN perform professional supervision, guidance and direction to staff in both clinical and personnel issues on the Sub-Acute (Short T

Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information Sys

Unit Manager Nurse - Registered Nurse at Centers Healthcare summary:. Beth Abraham Center is hiring a Registered Nurse (RN) Unit Manager in Bronx, NY. Mentor less experienced nurses, offering clinical & career advice.

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN will assist other staff members in completion of their duties. Registered Nurse Unit Manager, RN Job Summary.

Certified Registered Nurse Anesthetist Completion of Certified Nurse Anesthetist Training Program Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse Anesthetist Council on accreditation of Nurse Anesthesia Programs. Certified Registered Nurse Anestheti

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN coordinates resident care in accordance with State DOH regulations. Registered Nurse Unit Manager, RN will organize, oversee and supervise assigned unit activities and staff as

Submit your application and Join our team of talented nurses as they support healthcare in the Mohawk Valley!. At MVHS, a Registered Nurse promotes and restores patient's health by completing the nursing process: collaborating with physicians and multidisciplinary team members, providing support to

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN will assist other staff members in completion of their duties. Registered Nurse Unit Manager, RN Job Summary.

Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. Join the thousands of nurses across the country who have already made the switch

Current licensure in NYS as a Registered Professional Nurse or Licensed Practical Nurse,. Registered Nurse Unit Manager, RN Job Summary. Registered Nurse Unit Manager, RN perform professional supervision, guidance and direction to staff in both clinical and personnel issues on the Sub-Acute (Short T

Registered Nurses with our team have many shift opportunities including days, nights, and weekends with opportunities for full-time, part-time and per-diem positions. A Registered Nurse is responsible for assessing, planning, promoting and evaluating quality patient care, as well as providing teachi

Other Keywords: RN, Registered Nurse, Nurse, Hospice Registered Nurse, Hospice RN, Hospice Case Manager, Hospice RN Case Manager, Hospice RN CM, Hospice RNCM, Hospice CM, Comfort Measures Only, CMO, CHPN, Certified Hospice Palliative Nurse, Hospice Nurse, Home Health, Homecare, Home Care, Home Healt

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. Current New York State licensure as a Registered Nurse. The Registered Nurse promotes and restores patie

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;. Current license to practice as a Registered Professional Nurse in New York State.

Certified Registered Nurse Anesthetist Completion of Certified Nurse Anesthetist Training Program Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse Anesthetist Council on accreditation of Nurse Anesthesia Programs. Registered Nurse, Nurse Anesthetist,

Join the thousands of nurses across the country who have already made the switch to a more modern way to work. Nurses only: Must have applied for license prior to application. Trusted is seeking an experienced nurse for this exciting travel nursing assignment.

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. Current New York State licensure as a Registered Nurse. The Registered Nurse promotes and restores patie

Certified Registered Nurse Anesthetist Completion of Certified Nurse Anesthetist Training Program Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse Anesthetist Council on accreditation of Nurse Anesthesia Programs. Behavioral and Social Attributes -CR

Under the supervision of the Nursing Manager/Director of Nursing, the Registered Nurse (RN) is responsible for the overall oversight and supervision of the healthcare needs of the people we support. Reviews and updates the individual's plan of nursing care annually or as needed in accordance with me

Constellation Health Services is looking for a compassionate and skilled Registered Nurse to work with hospice patients and their families in their homes, assisted living facilities, and in skilled nursing facilities. Registered Nurse Licensed in the state of employment.

Certified Registered Nurse Anesthetist Completion of Certified Nurse Anesthetist Training Program Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse Anesthetist Council on accreditation of Nurse Anesthesia Programs. The Certified Registered Nurse Anest

Nomad Health seeks an experienced Emergency Room registered nurse for a travel assignment in CT. Take the next step in your healthcare career and join Nomad Health as a Emergency Room travel nurse. Have an active RN license or be willing to obtain a Registered Nurse license in CT.

Staff Nurse - RN- Hudson Valley Hospital- Nights. Each of our nurses dares to be truly excellent – thriving in a compassionate culture of care and caring.

MULTIPLE POSITIONS AVAILABLE * EXCELLENT BENEFITS FOR THOSE ELIGIBLE * AETNA HEALTH INSURANCE 1ST OF THE MONTH AFTER DATE OF HIRE GREAT TEAM .Per Diem - Weekends - Days (8am - 4pm), Evenings (4pm - 12am) or Overnights/Nights (12am-8am).Full Time Night Shift (SUNDAY - THURSDAY 12am - 8am).Sky Vi

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. The Registered Nurse promotes and restores patient's health by completing the nursing process: collabora

Lead and manage a team of nurses and support staff within the unit.

A Registered Nurse is responsible for assessing, planning, promoting and evaluating quality patient care, as well as providing teaching to patients, families and the public. A Registered Nurse will follow the mission, vision, I-CARE values, policies and procedures of Mohawk Valley Health System. Cur

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. Submit your application and Join our team of talented nurses as they support healthcare in the Mohawk Va

Reviews all records and ensures pain log is complete. Accompanies physician on floor rounds and prepares all 30 and 60 day reviews in advance. Registered Nurse licensure in NYS.

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. A Registered Nurse will follow the mission, vision, I-CARE values, policies and procedures of Mohawk Val

MULTIPLE POSITIONS AVAILABLE * EXCELLENT BENEFITS FOR THOSE ELIGIBLE * AETNA HEALTH INSURANCE 1ST OF THE MONTH AFTER DATE OF HIRE GREAT TEAM .Per Diem - Weekends - Days (8am - 4pm), Evenings (4pm - 12am) or Overnights/Nights (12am-8am).Full Time Night Shift (SUNDAY - THURSDAY 12am - 8am).Sky Vi

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. The Registered Nurse promotes and restores patient's health by completing the nursing process: collabora

MULTIPLE POSITIONS AVAILABLE * EXCELLENT BENEFITS FOR THOSE ELIGIBLE * AETNA HEALTH INSURANCE 1ST OF THE MONTH AFTER DATE OF HIRE GREAT TEAM .Per Diem - Weekends - Days (8am - 4pm), Evenings (4pm - 12am) or Overnights/Nights (12am-8am).Full Time Night Shift (SUNDAY - THURSDAY 12am - 8am).Sky Vi

At MVHS, a Registered Nurse promotes and restores patient's health by completing the nursing process: collaborating with physicians and multidisciplinary team members, providing support to patients, visitors and families. Registered Nurses with our team have many shift opportunities including days,

Triage Staffing is seeking a travel nurse RN Oncology for a travel nursing job in Cortlandt Manor, New York.

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. A Registered Nurses will follow the mission, vision, I-CARE values, policies and procedures of Mohawk Va

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. A Registered Nurses will follow the mission, vision, I-CARE values, policies and procedures of Mohawk Va

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. A Registered Nurses will follow the mission, vision, I-CARE values, policies and procedures of Mohawk Va

TotalMed Staffing is seeking a travel nurse RN Oncology for a travel nursing job in Cortlandt Manor, New York. We are seeking a Registered Nurse-Oncology for a travel assignment in Cortlandt Manor New York. Posted job title: Registered Nurse-Cortlandt Manor in New York.

The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care. The Registered Nurse promotes and restores patient's health by completing the nursing process: collabora

Each and every member of our professional and support staff is dedicated to this ideal - physicians, nurses, technicians and support personnel. Registered Nurse or RN for Procedures. Registered Nurse licensed to practice in New York State (NYS) with current NYS registration and in good standing.