Utilization Review Nurse Specialist
18 hours ago
We 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 Responsibilities- Conduct thorough reviews of patient records to identify opportunities for cost savings and quality improvement.
- Collaborate with healthcare teams to develop and implement plans to reduce length of stay and improve patient outcomes.
- Communicate with payors and other stakeholders to resolve issues and ensure timely reimbursement.
- Monitor and analyze data to identify trends and areas for improvement.
- Develop and maintain relationships with healthcare providers and payors to ensure seamless coordination of care.
- Registered Nurse with a New York State current license.
- Bachelor's degree preferred.
- Minimum of three years clinical experience in an assigned service.
- Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred.
Albany Medical Center is an equal opportunity employer and offers a competitive salary and benefits package.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes.
Workforce members are expected to ensure that access to information is based on a 'need to know' and is the minimum necessary to properly perform assigned duties.
-
Utilization Review Nurse Specialist
3 days ago
Coeymans, 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 care.Apply...
-
Utilization Review Nurse Specialist
3 days ago
Coeymans, 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 key member of our Care Management department, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in...
-
Utilization Review Nurse Specialist
3 days ago
Coeymans, 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 key member of our Care Management department, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in...
-
Clinical Utilization Specialist
2 weeks ago
Coeymans, New York, United States Albany Medical Center Full time{"title": "Clinical Utilization Specialist", "content": "Job SummaryAlbany Medical Center seeks a skilled Clinical Utilization Specialist to join our Care Management team. In this role, you will be responsible for ensuring the efficient and effective use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct thorough...
-
Nurse Practitioner Specialist
5 days ago
Coeymans, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our team at Albany Medical Center. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and working collaboratively with our medical staff to ensure the best possible outcomes for our patients.Key ResponsibilitiesConduct thorough patient...
-
Nurse Practitioner
3 days ago
Coeymans, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center seeks a skilled Registered Nurse to join our team. As a key member of our Medical/Surgical Hospitalist department, you will provide high-quality patient care and contribute to a collaborative and dynamic work environment.ResponsibilitiesAssess and evaluate patient needs, providing individualized care and treatment...
-
Advanced Practice Registered Nurse
2 weeks ago
Coeymans, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our team at Albany Medical Center. As a key member of our Anesthesiology department, you will play a critical role in providing exceptional patient care and contributing to the delivery of high-quality healthcare services.Key ResponsibilitiesManage an inpatient acute pain service at a...
-
Utilization Review Nurse
4 days ago
Coeymans, United States Albany Medical Center Full timeCoeymans, 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 to...
-
Clinical Utilization Review Specialist
2 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Albany Medical Center. 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...
-
Utilization Review Nurse
4 days ago
Coeymans Hollow, United States Albany Medical Center Full timeCoeymans Hollow, 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...
-
Clinical Utilization Specialist
5 days ago
Coeymans Hollow, United States Albany Medical Center Full timeJob SummaryWe are seeking a skilled Clinical Utilization Specialist to join our team at Albany Medical Center. As a key member of our Care Management/Social Work department, you will play a critical role in ensuring the highest quality patient care while optimizing resource utilization.Key ResponsibilitiesConduct thorough utilization reviews to ensure...
-
Nurse Practitioner Specialist
5 days ago
Coeymans Hollow, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our team at Albany Medical Center. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and working collaboratively with our medical staff to ensure the best possible outcomes for our patients.Key ResponsibilitiesConduct thorough patient...
-
Clinical Nurse Specialist
2 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeJob Summary:Albany Medical Center is seeking a skilled Clinical Nurse II to join our Vascular Surgery team. As a key member of our healthcare team, you will provide high-quality patient care and contribute to the delivery of exceptional patient outcomes.Key Responsibilities:Provide direct patient care to patients undergoing vascular surgery...
-
Nurse Practitioner
6 hours ago
Coeymans Hollow, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our Surgical Services team at Albany Medical Center. As a key member of our healthcare team, you will provide high-quality patient care, work collaboratively with physicians and other healthcare professionals, and contribute to the development of our surgical...
-
Nurse Practitioner
6 days ago
Coeymans Hollow, United States Albany Medical Center Full timeAbout the RoleWe are seeking a highly skilled Nurse Practitioner to join our Surgical Administration team at Albany Medical Center. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and collaborating with physicians and other healthcare professionals to ensure the best possible outcomes.Key...
-
Coeymans Hollow, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Registered Professional Nurse to join our team at Albany Medical Center. As a Clinical Nurse II, you will be responsible for assessing, coordinating, planning, directing, implementing, and managing the needs of assigned patients throughout their episode of care.Key ResponsibilitiesAssess and coordinate patient care...
-
Nurse Practitioner
2 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeAbout the RoleWe are seeking a highly skilled Nurse Practitioner to join our team at Albany Medical Center. As a key member of our surgical services team, you will be responsible for providing high-quality patient care and collaborating with our healthcare professionals to ensure the best possible outcomes.Key ResponsibilitiesConduct thorough patient...
-
Healthcare Nursing Professional
3 weeks ago
Coeymans Hollow, NY, United States Albany Medical Center Full timeDepartment/Unit:Inpatient Rehabilitation - E8Work Shift: Hourly Rate= $43. Responsible for executing physician directives, administering medications, initiating IVs, conducting treatments, procedures, and specialized tests, while documenting care in accordance with organizational policies and local/state/federal regulations. Evaluates and assesses patient...