Clinical Utilization Review Nurse
3 months ago
Department/Unit: Care Management/Social Work
Work Shift: Day
Responsible for managing utilization, quality screening, and care delays for assigned patients.
- Complete utilization management and quality screening for assigned patients.
- Apply criteria for appropriateness of admissions and continued stays.
- Identify areas for clinical documentation improvement and take appropriate action.
- Monitor length of stay and resource use, taking actions for continuous improvement.
- Communicate reimbursement certification for assigned patients.
- Facilitate removal of delays and document when they exist.
Minimum Qualifications:
- Registered nurse with a current license.
- Bachelor's degree preferred.
- Minimum of three years clinical experience.
- Recent experience in case management, utilization management, or discharge planning preferred.
- Assertive, creative, and self-directed with strong communication and organizational skills.
- Basic knowledge of computer systems and utilization review processes.
- Understanding of Medicare regulatory requirements and Managed Care Plans.
-
Clinical Utilization Review Specialist
2 weeks ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in patient...
-
Utilization Review Nurse
1 week ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United States Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062.40 -$107,348.80• Completes Utilization Management and Quality Screening for assigned patients. • Applies MCG criteria...
-
Utilization Review Nurse Specialist
6 days ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Albany Medical Center. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient cases to determine medical necessity and appropriateness of careApply...
-
Clinical Nurse-II
2 months ago
Feura Bush, United States Albany Medical Center Full timeDepartment/Unit:Vascular Surgery - M5Work Shift:Day (United States of America)Albany Medical Center is the first hospital in the US to be verified by the Society of Vascular Surgeons and the American College of Surgeons as a Comprehensive Vascular Surgical Center. There are two Vascular Surgery Units at AlbanyMed. The primary disease focus includes patients...
-
Clinical Nurse II
7 days ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a skilled Clinical Nurse II to join our Colorectal Surgery and Urology Unit at Albany Medical Center. As a key member of our team, you will provide high-quality patient care and contribute to a positive and supportive work environment.ResponsibilitiesImplement physician orders, administer medications, and perform treatments and...
-
Clinical Nurse III Adult Emergency Department
4 months ago
Feura Bush, United States Albany Medical Center Full timeDepartment/Unit:Emergency DepartmentWork Shift:Day (United States of America)The clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of the...
-
Clinical Nurse II Adult Emergency Department
1 month ago
Feura Bush, United States Albany Medical Center Full timeDepartment/Unit:Emergency DepartmentWork Shift:Evening (United States of America)Registered Nurse (RN) Emergency Department Albany, NY The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during...
-
Clinical Nurse III Adult Emergency Department
1 month ago
Feura Bush, United States Albany Medical Center Full timeDepartment/Unit:Emergency DepartmentWork Shift:Evening (United States of America)Registered Nurse (RN) Emergency Department Albany, NY The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during...
-
Clinical Nurse II: Pediatric Float Pool
4 months ago
Feura Bush, United States Albany Medical Center Full timeDepartment/Unit:Children's Hosp Float PoolWork Shift:Float Pool_5_Day (United States of America)The Clinical Nurse contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to...
-
Clinical Nurse III: Adult Emergency Department
3 weeks ago
Feura Bush, United States Albany Medical Center Full timeDepartment/Unit:Emergency DepartmentWork Shift:Day (United States of America)The Clinical Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay. The Clinical Nurse is responsible for...
-
Nurse Practitioner
2 weeks ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled and experienced Nurse Practitioner to join our team at Albany Medical Center. As a key member of our Anesthesiology department, you will be responsible for providing high-quality patient care and management of acute pain services.Key ResponsibilitiesPerform inpatient consultations and coordinate care with...
-
Nurse Practitioner
1 week ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United States Department/Unit: Surgery Administration Work Shift: Day (United States of America) The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP...
-
Nurse Practitioner
2 months ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the...
-
Nurse Practitioner
4 months ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the...
-
Nurse Practitioner
5 months ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United StatesDepartment/Unit:Surgery AdministrationWork Shift:Day (United States of America)The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP demonstrates the...
-
Physician Assistant/ Nurse Practitioner
1 week ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United States Department/Unit: Hospitalists Work Shift: Day (United States of America) Salary range: $120,000 The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The...
-
Registered Nurse
3 weeks ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a skilled Registered Nurse to join our Emergency Department team. As a Clinical Nurse II, you will be responsible for providing high-quality patient care in a fast-paced environment.Key ResponsibilitiesProvide direct patient care, including assessment, planning, implementation, and evaluation of patient...
-
Advanced Practice Registered Nurse
3 weeks ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a highly skilled and dedicated Nurse Practitioner to join our team in the Pediatrics Neurology department. As a key member of our healthcare team, you will be responsible for providing high-quality patient care, conducting assessments, and developing treatment plans in collaboration with our attending physicians...
-
Advanced Practice Registered Nurse
2 weeks ago
Feura Bush, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a highly skilled Nurse Practitioner to join our team in the Department of Anesthesiology. As a key member of our interdisciplinary team, you will be responsible for providing high-quality patient care, collaborating with physicians and other healthcare professionals, and contributing to the development of our pain...
-
Physician Assistant/ Nurse Practitioner
2 months ago
Feura Bush, United States Albany Medical Center Full timeFeura Bush, NY, United StatesDepartment/Unit:HospitalistsWork Shift:Day (United States of America)Salary range: $120,000The Nurse Practitioner (NP) is a nurse who, through clinical experience, study and supervised practice in patient care at the masters or doctoral level, has gained expertise in a specific specialty area of patient care services. The NP...