Clinical Utilization Review Nurse

Job DescriptionJob DescriptionIntegra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director to perform benefit and medical necessity reviews and appeals within an...

We are currently looking to fill a QC Data Reviewer position with a Sunday-Thursday 8am-4:30pm schedule. Regeneron successfully manufactures a range of biopharmaceuticals for patients worldwide, including our approved therapeutic proteins and those involved in clinical studies. Our QC Data Reviewers provide support to the Quality Control Drug Product...

Job DescriptionJob DescriptionJob title: Utility Analyst Location: Latham, NY 12110Duties:The applicant shall pull utility bills from the FileNet program maintained by the Business Service Center.The applicant shall ensure that a utility bill is received for each facility for each billing period.The applicant shall perform an audit of all utility bills to...

Position OverviewAt Troy Regional Medical Center, we pride ourselves on fostering a supportive and enriching atmosphere for our healthcare professionals. As a member of our nursing team, you will experience a collaborative environment that encourages your professional development and growth.As a Clinical Nurse, you will be integral to the delivery of...

Job DescriptionJob DescriptionJob Title: Cost and Utilization Analyst Starting Salary: $56,165 Job Summary:The Cost and Utilization Analyst is responsible for monitoring, reviewing and analyzing all financial activities. This may include budget preparation, developing and monitoring outcomes based contracting rates, and working with the contracted providers...

Job DescriptionJob DescriptionJob Title: Cost and Utilization Analyst Starting Salary: $56,165 Job Summary:The Cost and Utilization Analyst is responsible for monitoring, reviewing and analyzing all financial activities. This may include budget preparation, developing and monitoring outcomes based contracting rates, and working with the contracted providers...

Troy Center for Rehabilitation and Nursing is seeking a Clinical Nurse Supervisor to join our dedicated team in providing exceptional care. We are pleased to offer a competitive sign-on bonus for qualified candidates.Key Responsibilities:Oversee all supervisory functions for the designated unit.Assist in the development and enforcement of staff policies and...

Job SummaryClinical Management Consultants is seeking a seasoned nursing leader to serve as the Senior Director of Medical Surgical Services. This key role will oversee the strategic direction and operational management of inpatient nursing services across multiple units, including Medical Surgical, Ortho/Med-Surg, and Telemetry.Key ResponsibilitiesDevelop...

About the RoleWe are seeking a skilled Clinical Nurse to join our team at Corewell Health. As a Clinical Nurse, you will play a vital role in providing high-quality patient care and coordination with the entire care team.Key ResponsibilitiesAssess, plan, implement, evaluate, and discharge patient care under the direction of the Nurse Leader.Provide quality...

Job OverviewAramark is seeking a highly skilled Clinical Dietitian to join our team, covering two senior living communities in Illinois. As a key member of our healthcare team, you will be responsible for providing nutritional services to our elderly residents, ensuring their optimal health and well-being.Key ResponsibilitiesConduct comprehensive medical...

Job SummaryPremier Health Partners is seeking a skilled Clinical Nurse to join our team in the Cardiac Tele Unit. As a Registered Nurse, you will play a vital role in providing exceptional patient care and collaborating with our inter-professional team to deliver high-quality services.Key ResponsibilitiesPartner with patients and families to provide...

Job DescriptionJob DescriptionCompany DescriptionAbout Chamberlain University Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, and nations. Our regionally accredited University is comprised of the College of Nursing and the...

Position: Clinical Nursing ManagerLocation: Troy, MISalary: $94,000 - $99,000 annuallySchedule: Monday - Friday, 8 AM - 5 PMAbout the Role: Medix™ is looking for a committed Clinical Nursing Manager to enhance our healthcare team. This role combines clinical leadership with staff development, focusing on mentoring and supporting our nursing personnel while...

Job DescriptionJob DescriptionOrlans PC, an innovative default law firm representing servicers and secured creditors in multiple jurisdictions. This position is responsible for progressing files through the foreclosure process by preparing and filing legal documents, preparing and mailing correspondences, acting as a liaison to outside vendors as well as...

We are seeking dedicated and skilled Registered Nurses (RN) to work on a per-diem basis during day and night shifts within the Medical Department. The RN will be responsible for overseeing and assessing nursing care in alignment with the organization’s philosophy, objectives, and standards. This role will report directly to the Medical Director or a...

Position Overview:The Troy Center for Rehabilitation and Nursing is seeking a dedicated Clinical Nurse Leader to join our esteemed Skilled Nursing Facility.Role Responsibilities:As a Clinical Nurse Leader, you will be responsible for:1. Providing guidance and support to residents and their families.2. Monitoring patient health and administering necessary...

Position Overview:The Troy Center for Rehabilitation and Nursing is seeking a dedicated Clinical Nurse Specialist (CNS) to join our esteemed Skilled Nursing Facility. Incentives:We are pleased to offer a competitive sign-on bonus for new hires. Key Responsibilities:As a Clinical Nurse Specialist, you will be responsible for:1. Providing guidance and support...

Position Overview:We are seeking dedicated and skilled Registered Nurses (RN) to work on a per-diem basis during day and night shifts within the Medical Department.Key Responsibilities:The RN will be responsible for overseeing and evaluating nursing care in alignment with established healthcare standards. This role involves direct reporting to the Medical...

Position Overview:At Troy Regional Medical Center, we pride ourselves on fostering a supportive and growth-oriented environment for our healthcare professionals. As a Registered Nurse, you will play a vital role in delivering exceptional nursing care to our patients.Key Responsibilities:As an RN, you will be accountable for the nursing care of your assigned...

We are currently looking to fill a Plant Utilities Technician position with a 10:00pm-8:30am Wednesday-Saturday schedule. Our Plant Utilities Technicians are responsible for start-up, normal operation, monitoring, maintaining and shutdown of Plant Utility systems and equipment within Plant Utility mechanical rooms that support overall facility...