RN UTILIZATION REVIEW SPECIALIST FULL TIME

4 weeks ago


Nyack NY USA, United States Nyack Hospital Full time
Comprehensively plans with the health care team to ensure patient needs are met and care delivery is coordinated across the continuum. Identifies and works to eliminate/minimize system variation and service delivery barriers that prevent achievement of optimal patient outcomes in the expected time frame and with the most efficient utilization of resources. Carries out activities related to utilization management, discharge planning, care coordination and referral to tother levels of care. Performs as an integral part of the interdisciplinary team promotion interdisciplinary collaboration. Facilitates assignment of level of care, consider payer requirements and responds accordingly to avoid adverse financial consequence to the patient and the hospital. Provide superior customer service by modeling the We Care Standards.

QUALIFICATIONS

A Bachelor's Degree required in Nursing. Three to five years relevant clinical medical surgical, ICU or ER experience preferred. Experience in managed care performing utilization review and discharge planning preferred.
Training/Certification: HC-PRI certified and PRI screen preferred.
Licensure: Current NYS RN license required
Other: Qualities include effective written and verbal communication skills, decision making and problem solving skills and comprehensive assessment skills.

  • Nyack, United States Tandym Group Full time

    A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review specialist. In this role, the Utilization Review Specialist (RN) will be responsible for assisting the team with utilization management and discharge planningAbout the...


  • Nyack, United States Tandym Group Full time

    A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review specialist. In this role, the Utilization Review Specialist (RN) will be responsible for assisting the team with utilization management and discharge planningAbout the...


  • Plattsburgh, NY, United States The University of Vermont Health Network Full time

    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...


  • Plattsburgh, NY, United States The University of Vermont Health Network Full time

    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...


  • Plattsburgh, NY, United States The University of Vermont Health Network Full time

    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...

  • Travel Nurse RN

    7 days ago


    Syracuse, NY, United States Supplemental Health Care Full time

    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,...


  • Syracuse, NY, United States Nascentia Health Full time

    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...

  • Travel Nurse RN

    5 days ago


    Syracuse, NY, United States Supplemental Health Care Full time

    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...

  • Travel Nurse RN

    4 days ago


    Syracuse, NY, United States Planet Healthcare Full time

    Planet Healthcare 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: 06/17/2024 Duration: 16 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Planet Healthcare Job ID #58997392. Pay package is...


  • 43 New Scotland Avenue Albany, NY 12208, United States Albany Medical Center Full time

    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...


  • Plattsburgh, NY, United States The University of Vermont Health Network Full time

    Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established practices. Utilizing these skills assists the Medical Center in providing optimal care in a cost effective manner and promotes the efficient...

  • RN- Health Care

    7 days ago


    Syracuse, NY, United States Supplemental Health Care Full time

    Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York. Start Date: ASAP Employment Type: Travel Supplemental Health Care is seeking Utilization Review RNs in Syracuse, New York for a 16-week assignment at a partnering hospital. Named Best in Staffing based on real feedback from our...


  • 43 New Scotland Avenue Albany, NY 12208, United States Albany Medical Center Full time

    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...


  • Albany, NY, United States Equiliem Full time

    Equiliem is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Albany, New York.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 06/24/2024Duration: 52 weeks36 hours per weekShift: 8 hours, daysEmployment Type: Local ContractPerks: Local Contract role in Albany, NY - Stipends are not...

  • Travel Nurse RN

    3 days ago


    Syracuse, NY, United States Planet Healthcare Full time

    Planet Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 06/17/2024Duration: 16 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPlanet Healthcare Job ID #58997392. Pay package is based on 8 hour shifts...

  • Travel Nurse RN

    6 days ago


    White Plains, NY, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 38 hours per week Shift: 10 hours, days Employment Type: Travel We’re seeking talented healthcare professionals whose...


  • Nyack, United States Tandym Group Full time

    A recognized healthcare system in New York is looking to add an experienced, licensed Registered Nurse (RN) to one of their facilities in Rockland County. Responsibilities: The Professional Development Specialist (RN) will: Serve as a Nursing Leader, Practice Mentor, and Education Resource to a wide range of academically prepared Nurses across all practice...


  • Nyack, United States The Execu|Search Group Full time

    A recognized healthcare system in New York is looking to add an experienced, licensed Registered Nurse (RN) to one of their facilities in Rockland County. Responsibilities: The Professional Development Specialist (RN) will: Serve as a Nursing Leader, Practice Mentor, and Education Resource to a wide range of academically prepared Nurses across all practice...


  • Nyack, United States HC&N Healthcare Solutions Full time

    Patient Services Specialist Skilled Nursing & Rehabilitation Center is looking for a full-time Patient Services Specialist in Rockland County. This position is full time, 5 days a week, with one weekend day required. Serve as the liaison between patients, families and our current staff, including disseminating information gathered to the appropriate...


  • Nyack, United States Freixenet Mionetto USA Full time

    Job DescriptionJob DescriptionThe Logistics Specialist will be responsible for managing customer order processing. The Logistics Specialist is responsible for the optimization of direct import containers and utilization of transportation efficiencies. The position will liaise with suppliers and distributors ensuring customer satisfaction The Logistics...