Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNNew York, NY$90,000–$151,000 / yearOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
NewRegistered Nurse Care-OneRegistered NurseWhippany, NJ$38–$60 / hourDirect day to day functions of Licensed Practical Nurses and Certified Nursing Assistants, assuring compliance with state and federal regulations and facility policies and processes. According to facility policy and procedure, assure that all members of the interdisciplinary team are aware of and understand changes in resident nursing and/or medical plan of care.
NewTravel RN Case Manager - $2,871 per week GLC On-The-GoTravel RN Case Manager - $2,871 per weekBronx, NY$2,584–$2,610 / weekWe specialize in connecting travel nurses and allied healthcare professionals like you with opportunities in acute care, long-term care, behavioral health, and allied fields across the U.S. Caseload: Floors typically have 33-40 patients; most floors are split with 1 Case Manager & 1 Social Worker; caseload: 17-25 patients.
RN - Nurse Educator Mitchell MartinRN - Nurse EducatorNew York, NY$64.68–$92.40 / hourCandidates must hold certifications in basic life support and oncology nursing, with a focus on both inpatient and outpatient settings. This position involves providing education in medical-surgical nursing and clinical expertise in a hybrid work setting.
NewPsychiatric Mental Health Nurse Practitioner (PMHNP) – Outpatient, Inpatient or Hybrid Practice JobotPsychiatric Mental Health Nurse Practitioner (PMHNP) – Outpatient, Inpatient or Hybrid PracticeWhite Plains, NY$170,000–$230,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. $170K–$230K plus incentives • Outpatient, inpatient or blended practice • Potential hybrid flexibility • Clinical autonomy • Protected administrative time • Multidisciplinary support • Leadership growth .
NewRegistered Nurse (RN) - ECMO Coordinator - $65K-90K per year SpecialtyCareRegistered Nurse (RN) - ECMO Coordinator - $65K-90K per yearPaterson, NJ$65,000–$90,000 / yearDemonstrates a superior working knowledge of ECMO therapy including but not limited to the ECMO circuit and pump, adjustments to pump flow, sweep flow, FiDO2, anticoagulation therapy to maintain parameters within limits set by the physician, point of care testing, patient monitoring systems, and related policies and procedure guidelines. Duties and Responsibilities: Assist the physician, perfusionist and/or other clinical staff members with initiation of ECMO, the course and conduct of ECMO, and the conclusion of ECMO and any related therapies therein including but not limited to circuit or component changes, priming, blood bank communications, medication administration as licensure permits, and hemofiltration as examples.
NewRN Team Leader for Homecare - Brooklyn NY JobotRN Team Leader for Homecare - Brooklyn NYNew York, NY$125,000–$140,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. RN Homecare Team Leader will assume the ongoing, primary responsibility to coordinate, implement and continually evaluate the home care needs of your patients.
NewTravel Nurse RN - Oncology - $2,820 per week HCS 247Travel Nurse RN - Oncology - $2,820 per weekBrooklyn, NYOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings.
NewTravel Nurse RN - ICU - Intensive Care Unit - $2,810 per week HCS 247Travel Nurse RN - ICU - Intensive Care Unit - $2,810 per weekNewark, NJOur clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs. With competitive compensation and benefits, consistent opportunities, and a clinician-first approach backed by top-rated customer service, HCS 24/7 delivers a seamless experience from initial application through assignment completion.
NewTravel Nurse RN - NICU - Neonatal Intensive Care - $2,876 per week Fastaff Travel NursingTravel Nurse RN - NICU - Neonatal Intensive Care - $2,876 per weekBronx, NYIn partnering with many of the nation’s largest and most prestigious healthcare facilities as well as small community hospitals, Fastaff provides enriching employment opportunities to RNs while also providing the highest pay in the industry to meet acute staffing needs and provide unparalleled patient care. Since then, the company has grown to become the leading provider of urgent and crucial temporary registered nurses to help hospitals provide continuous, high-quality patient care, while offering premium pay to registered nurses.
NewRegistered Nurse Per Diem UnitedHealth GroupRegistered Nurse Per DiemWest Orange, NJ$50.06–$75.09 / hourQuality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes.
NewTravel Nurse RN in New York, NY TravelNurseSourceTravel Nurse RN in New York, NYNew York, NYAdditional responsibilities will include, report development using applicable computer programs, review of facility Policies and Procedures, preparation of general correspondence, participation in agency license amendments, license closing/opening reviews and change of ownership procedures, participation in meetings and on committees, participation in Enforcement Action against home care agencies including testifying at hearings and reviewing Statements of Deficiencies to ensure compliance with the Principles of Documentation and involvement with regional office special projects. Candidate will be responsible for tracking and evaluating agency submitted Plans of Correction for all regions; effectively communicating with agencies the requirements of an acceptable Plan of Correction; completing off-site post-survey revisits; reviewing triage level and evaluating new complaint intakes; completing off-site complaint investigations including complaint write-ups, communication with the complainants, staff interviews, patient interviews/observations, and letter generation.
NewTravel Cath Lab RN - $2,820 per week TNAA TotalMed RNTravel Cath Lab RN - $2,820 per weekPassaic, NJAs a Cath Lab RN, you'll work with a highly skilled team of medical professionals in a cardiovascular surgical environment providing assistance to the physician including maintenance and monitoring of EKG equipment, and assisting during angioplasty, cardiac catheterization and electrophysiology. Because of the fast-paced environment, Cardiac Cath Lab Travel Nurses must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.
NewTravel NICU RN - $1,713 per week PRN HealthcareTravel NICU RN - $1,713 per weekWestwood, NJOver the years Nurses PRN grew and evolved as a nationwide healthcare staffing company, and therefore wanted to be more inclusive to all valued healthcare professionals: nurses, allied health, locum tenens, CNAs, and more. As a result, he started Nurses PRN in 1995 to become a model for the healthcare staffing industry – being competitive in the marketplace, yet still maintaining a compassionate heart.
Registered Nurse (RN) Medical Surgical Unit - Jackson Heights Advocate AuroraRegistered Nurse (RN) Medical Surgical Unit - Jackson HeightsLong Island City, NYAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation . It's part of a tri-city area with Menominee, MI and Peshtigo, WI, offering a mix of charming neighborhoods, affordable housing, and outdoor recreation like fishing, boating, and hiking.
Licensed Practical Nurse VNS HealthLicensed Practical NurseNew York, NY$39.57–$41.39We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. For Hospice only: Employee will be hired to perform nursing care duties in primarily one area of service (Home Care visits, Hospice Residence shifts, or Crisis Care visits).
Registered Nurse (RN) - Neurosurgery - Perth Amboy Advocate AuroraRegistered Nurse (RN) - Neurosurgery - Perth AmboyPerth Amboy, NJMust demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation .
NewTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,303 per week in Brooklyn, NY TravelNurseSourceTravel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,303 per week in Brooklyn, NYBrooklyn, NY$2,303TravelNurseSource is working with FlexCare to find a qualified ICU/Critical Care RN in Brooklyn, New York, 11235! Less hassle, more control: one recruiter, transparent pay, and concierge-level support that anticipates your needs.
NewTravel Nurse RN - Cardiac Catheterization Lab - $2,708 per week in Passaic, NJ TravelNurseSourceTravel Nurse RN - Cardiac Catheterization Lab - $2,708 per week in Passaic, NJPassaic, NJ$2,708Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Cath Lab Registered Nurse (RN) for an exciting new travel job in Passaic, NJ 07055. If you are an experienced Cath Lab Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Diabetes - $2,308 per week in Brooklyn, NY TravelNurseSourceTravel Nurse RN - Diabetes - $2,308 per week in Brooklyn, NYBrooklyn, NY$2,307.67Foster patient-centered approaches and tailor teaching methods to individual needs, ensuring patients grasp the intricacies of managing their condition. Possess comprehensive knowledge of all diabetes medications to counsel patients on proper administration techniques, potential side effects, and expected outcomes.
Staff Nurses Yale New Haven HealthStaff NursesStamford, CTThe RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care.
NewTravel Nurse RN - Hospice - $1,879 to $1,937 per week in Greenwich, CT TravelNurseSourceTravel Nurse RN - Hospice - $1,879 to $1,937 per week in Greenwich, CTGreenwich, CT$1,878.91–$1,937.02Pioneer Healthcare Services specializes in staffing and travel recruiting for healthcare professionals across the U.S., with a focus on top school and medical opportunities. TravelNurseSource is working with Pioneer Healthcare Services to find a qualified Hospice RN in Greenwich, Connecticut, 06830!
Dialysis Nurse Educator Dialysis Clinic, Inc.Dialysis Nurse EducatorElmsford, NY$107,120–$117,062 / yearDCI’s Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.
Utilization Review Nurse Oscar Health IncUtilization Review NurseNYRemote$35–$45.94 / hourWork Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. Requirements: Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).
Utilization Review Coordinator (NY HELPS), Manhattan Psychiatric Center, P27097 New York State Thruway AuthorityUtilization Review Coordinator (NY HELPS), Manhattan Psychiatric Center, P27097New York, NY$70,579–$89,645 / yearNotes: In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). The Mission of the New York State Office of Mental Health (OMH) is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances.
Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P26503 New York State Thruway AuthorityUtilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P26503NY$70,579–$89,645 / yearAll OMH employees receive a generous benefits package including: • NYS medical, dental, & vision insurance • Access to tuition assistance programs • Excellent opportunities for advancement & professional growth • Paid time off - 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave • NYS Retirement programs. Duties Description New York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed with mental illness.
Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!
Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.
NewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantNY$26.01–$62.32 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
NewSenior Clinical Review Nurse - Prior Authorization Centene Corporation GroupSenior Clinical Review Nurse - Prior AuthorizationNY$30.58–$55.09 / hourCollaborates with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care. Provides education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members.
Care Coordinator, Utilization Management Hackensack Meridian HealthCare Coordinator, Utilization ManagementEdison, New JerseyFull timeResponsibilities: A day in the life of a Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health includes: Follows departmental workflows for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials, termination of benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record utilization reviews. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
Utilization Management Manager HealthfirstUtilization Management ManagerNY$116,800–$168,810 / yearDevelops and monitors goals for staff; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; and ensures an atmosphere of open communication, teamwork, and ownership and empowerment to make informed decisions. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
NewUtilization Specialist, Case Management Memorial Sloan Kettering Cancer CenterUtilization Specialist, Case ManagementNew York, NY$77,100–$119,400 / yearInformed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. Document clinical reviews, payer communications, treatment delays, avoidable days, and other case management activities in accordance with departmental and regulatory requirements.
Care Manager - Utilization Management (Must Have UAS Experience) Metroplus Health Plan IncCare Manager - Utilization Management (Must Have UAS Experience)NYRemoteThe Care Manager, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.
Utilization Management (UM) Clinical Team Lead Metroplus Health Plan IncUtilization Management (UM) Clinical Team LeadNew York, NYMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. Position Overview: The Clinical Team Lead, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient.
NewDirector of Utilization Management VillageCareDirector of Utilization ManagementNew York, NY$118,135.58–$132,902.53 / yearThe Director of Utilization Management (UM) at VillageCare plays a pivotal role in overseeing the daily operations of the UM Department, encompassing critical areas such as inpatient, outpatient, and long-term support service reviews. Focused on delivering quality, medically appropriate care that corresponds with the severity of illness and members' benefit coverage, the role also involves innovating UM initiatives designed for cost containment and quality enhancement.
Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, Healthcare ExlService Holdings IncSkilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, HealthcareNYRemote$70,000–$80,000 / yearIn this fully remote position as a Skilled Nursing Facility auditor you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim including coding validation, payment accuracy, contractual requirements and compliance with regulations. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
NewClinical Evaluation Manager, Utilization Management VNS HealthClinical Evaluation Manager, Utilization ManagementNew York, NY$85,000–$106,300 / yearWork Experience: Minimum two years of experience with strong cost containment /case management background or two years acute inpatient hospital experience in chronic or complex care required Must have experience and qualifications demonstrating knowledge of working with the LTSS eligible population. Working knowledge of Microsoft Excel, Power-Point, and Word and strong typing skills required Knowledge of Medicaid and/or Medicare regulations required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan.
Utilization Management Registered Nurse St. Joseph HealthUtilization Management Registered NursePaterson, NJThe combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care". St. Joseph's University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures.
CHS Utilization and Appeals Manager St. Catherine of Siena Medical CenterCHS Utilization and Appeals ManagerMelville, NY$110,000–$150,000 / yearThe UAM serves as interdepartmental liaison identifying denial reasons and opportunities for improvement from both internal and external sources including regulatory agencies. Ability to effectively communicate with all levels of hospital staff in a verbal and written manner; demonstrated ability to be organized and efficient in prioritizing and managing assignments with minimal oversight and direction.
CHS Utilization and Appeals Manager Catholic HealthCHS Utilization and Appeals ManagerMelville, New York$110,000–$150,000 / yearThe UAM serves as interdepartmental liaison identifying denial reasons and opportunities for improvement from both internal and external sources including regulatory agencies. Ability to effectively communicate with all levels of hospital staff in a verbal and written manner; demonstrated ability to be organized and efficient in prioritizing and managing assignments with minimal oversight and direction.
Registered Nurse Supervisor 1 Psychiatric (NY HELPS), New York City Children's Center, Bronx Campus, P27431 New York State Thruway AuthorityRegistered Nurse Supervisor 1 Psychiatric (NY HELPS), New York City Children's Center, Bronx Campus, P27431Bronx, NY$132,178–$143,230 / yearDue to the December 22, 2022 title structure change, permanent competitive or 55-b/55-c service in the following titles is also qualifying: Community Mental Health Nurse and all parenthetics, Community Nursing Services Consultant (Developmental Disabilities), Community Nursing Services Consultant (Home Health Services), Community Nursing Services Consultant (Mental Health), Health Services Nurse, Hospital Nursing Services Consultant, Infection Control Nurse, Medical Care Representative, Nurse 1 and all parenthetics, Nurse 2 and all parenthetics, Nurse 3 and all parenthetics, Teaching & Research Center Nurse 1, Teaching & Research Center Nurse 2, Teaching & Research Center Specialty Nurse, or Senior Utilization Review Nurse. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
NewRegistered Nurse Supervisor 1 Psychiatric (NY HELPS), South Beach Psychiatric Center, P27571 New York State Thruway AuthorityRegistered Nurse Supervisor 1 Psychiatric (NY HELPS), South Beach Psychiatric Center, P27571Staten Island, NY$132,178–$143,230 / yearDue to the December 22, 2022 title structure change, permanent competitive or 55-b/55-c service in the following titles is also qualifying: Community Mental Health Nurse and all parenthetics, Community Nursing Services Consultant (Developmental Disabilities), Community Nursing Services Consultant (Home Health Services), Community Nursing Services Consultant (Mental Health), Health Services Nurse, Hospital Nursing Services Consultant, Infection Control Nurse, Medical Care Representative, Nurse 1 and all parenthetics, Nurse 2 and all parenthetics, Nurse 3 and all parenthetics, Teaching & Research Center Nurse 1, Teaching & Research Center Nurse 2, Teaching & Research Center Specialty Nurse, or Senior Utilization Review Nurse. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
Registered Nurse Supervisor 1 Psychiatric (NY HELPS), New York City Children's Center, Queens Campus - Evenings, P27431 New York State Thruway AuthorityRegistered Nurse Supervisor 1 Psychiatric (NY HELPS), New York City Children's Center, Queens Campus - Evenings, P27431NY$132,178–$143,230 / yearDue to the December 22, 2022 title structure change, permanent competitive or 55-b/55-c service in the following titles is also qualifying: Community Mental Health Nurse and all parenthetics, Community Nursing Services Consultant (Developmental Disabilities), Community Nursing Services Consultant (Home Health Services), Community Nursing Services Consultant (Mental Health), Health Services Nurse, Hospital Nursing Services Consultant, Infection Control Nurse, Medical Care Representative, Nurse 1 and all parenthetics, Nurse 2 and all parenthetics, Nurse 3 and all parenthetics, Teaching & Research Center Nurse 1, Teaching & Research Center Nurse 2, Teaching & Research Center Specialty Nurse, or Senior Utilization Review Nurse. If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid.
Care Manager, Concurrent Review (Remote) EmblemHealth IncCare Manager, Concurrent Review (Remote)NYRemote$68,040–$118,800 / yearEstablish and maintain active working relationships with assigned facility care managers/utilization management departments to facilitate appropriate clinical reviews and patient care. Under the direction of the leader, is responsible for the execution of efficient departmental processes designed to manage inpatient utilization within the benefit plan.
Medical Director - Clinical Ops Case Review - NEX Medica Health Plans IncMedical Director - Clinical Ops Case Review - NEXNY$235,600–$319,770 / yearAnnual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data. The Medical Director - Clinical Operations has the responsibilities of supporting care management, quality, utilization management, credentialing, pharmacy, health policy implementation, technology assessment and risk management activities.
Wound Care Nurse- RN Registered Nurse HealogicsWound Care Nurse- RN Registered NurseWestwood, New JerseyThe individual in this role will provide consultation, educational, knowledge, skills and support of the bedside nurse to manage patients at risk for pressure injury development, as well as patients with wounds and/or ostomies and educational services to patients and their family members to assist them in the management of their individual wound care and ostomy needs. The Wound Care and Ostomy Nurse will primarily provide clinical evaluation and the initial plan of care for inpatient wound and ostomy services and provide nursing support to the outpatient Wound Care Center (WCC)®, if needed.
Wound Care Nurse- RN Registered Nurse Healogics IncWound Care Nurse- RN Registered NurseWestwood, NJ$46.57–$58 / hourThe individual in this role will provide consultation, educational, knowledge, skills and support of the bedside nurse to manage patients at risk for pressure injury development, as well as patients with wounds and/or ostomies and educational services to patients and their family members to assist them in the management of their individual wound care and ostomy needs. The Wound Care and Ostomy Nurse will primarily provide clinical evaluation and the initial plan of care for inpatient wound and ostomy services and provide nursing support to the outpatient Wound Care Center (WCC), if needed.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew Rochelle, NY$120,000–$124,000Participate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Psychologist Telecommute Medical Review Stream Concentra Inc.Psychologist Telecommute Medical Review StreamNewark, NJCurrent, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient careJOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. EDUCATION/CREDENTIALS: Board certified with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.