UM CARE REVIEW CLINICIAN INPATIENT REVIEW

Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired...

**JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients...

PURPOSE OF THE POSITION: The Behavioral Health Medical Director oversees the practices and corresponding documentation of all mental health and chemical dependence psychiatric services provided to children, adolescents and adults in accordance with governmental regulations. Reporting to the Chief Medical Officer, helps manage health plan behavioral health...

Physician Affiliate Group of New York (PAGNY) is one of the largest multi-disciplinary groups in the country whose main purpose is to nurture and embolden the healthcare providers who take care of the most fragile and vulnerable patients in New York City. PAGNY people do more than diagnose and treat; we uplift the spirits and dignity of patients because we...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Utilization Review NurseSalary Range: $31.28 - $51.61 per hourResponsible for Utilization Management, Quality Screening and Delay Management forassigned patients.Qualifications and Ideal Characteristics Registered nurse with a New York...

Weekly pay includes taxable wage and per diems (non taxable stipend) if eligible **Requirements**: RN License for NY state, BLS certified by AHA and Co-vid Vaccination Card. 2+ years experience as RN Case Manager Utilization Review. **Job Types**: Contract, Temporary Pay: From $2,310.40 per week **Benefits**: - 401(k) - Dental insurance - Health...

Weekly pay includes taxable wage and per diems (non taxable stipend) if eligible **Requirements**: RN License for NY state, BLS certified by AHA and Co-vid Vaccination Card. 2+ years experience as RN Case Manager Utilization Review. **Job Type**: Contract Pay: From $2,310.40 per week **Benefits**: - 401(k) - Dental insurance - Health insurance - Vision...

Please Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY. GENERAL SUMMARY: The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or...

Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks Employment Type: Travel Job Description: Supplemental Health Care is seeking Utilization Review RNs in Syracuse,...

Please Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established...

Please Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established...

The Utilization Review Nurse assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; analysis; and outcomes reporting. Utilizes standards of care, evidence based practices, Medicare and Medicaid and organizational coverage guidelines to assure members receive high quality, cost...

Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: ASAPDuration: 13 weeksEmployment Type: TravelJob Description:Supplemental Health Care is seeking Utilization Review RNs in Syracuse, New York for a 16-week...

Northeast Family Services of New York is hiring! NFS is an established and growing agency specializing in providing therapy services to individuals and families via telehealth, in-person, or in-home. We are seeking a passionate, master's level clinical professional with LCSW licensure for a new role here as a Quality Assurance (QA) Clinician. The QA...

: Sign-On Bonus Up to $3,000 - Located in the Bronx. NOT REMOTE POSITION DESCRIPTION:The Licensed Mental Health Clinician is responsible for providing individual and group counseling services on a wide range of clinical issues for individuals diagnosed with an Opioid Use Disorder. The Licensed Clinician assists patients with accessing community resources and...

43 New Scotland Avenue Albany, NY 12208Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.Salary Range: $31.28 - $51.61 per hour• Completes Utilization Management and Quality Screening for assigned patients.• Applies MCG...

Employed by PAGNY for NYC Health + Hospitals/Kings County , Kings County Hospital operates a world-renowned Level 1 Trauma Center, one of only three in Brooklyn, which serves 2.6 million residents of Brooklyn and Staten Island. The hospital is academically affiliated with SUNY Downstate Medical Center and trains their medical students and OBGYN...

Summary The James J Peters VAMC is seeking a Full-Time Chief of the Hospitalist Section and the Director Inpatient Quality. The Board-Certified applicant should possess the leadership, energy, compassion, and commitment to serve those who serve our Country. You will be given a chance to...

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedures. Areas of practice are diverse, including, but not limited to, hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis,...

About Abbott House Abbott House is an innovative community-based organization that helps children, families, adults and people with intellectual and developmental disabilities with complex needs build lasting foundations for a promising future. We operate programs in the New York Metropolitan area and Hudson Valley. Job Summary: The Clinician/Therapist...