Registered Nurse Utilization Review Specialist
3 weeks ago
VNS Health is seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.
Responsibilities:- Conduct thorough clinical assessments, including medication reconciliations, post-discharge transitions of care, and emergency department assessments.
- Collaborate with healthcare teams to ensure compliance with regulatory requirements, industry benchmarks, and quality objectives.
- Lead and participate in quality improvement initiatives, including performance improvement projects and committees.
- Develop and implement training materials, protocols, and standards for patient populations.
- Conduct audits and provide guidance on medical record documentation standards.
- Current registration to practice as a Registered Professional Nurse in New York State.
- Minimum of three years quality improvement experience in a healthcare setting.
- Excellent communication, leadership, and interpersonal skills.
- Knowledge of performance improvement tools and methodologies.
VNS Health is a leading nonprofit home and community-based healthcare organization, dedicated to delivering compassionate care and unparalleled expertise to our patients and communities. We offer a comprehensive benefits package, including health insurance, retirement savings, and professional growth opportunities.
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Registered Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Job Summary:The Registered Nurse Utilization Review...
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Registered Nurse Utilization Review Specialist
2 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...
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Registered Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...
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Registered Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...
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Registered Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for conducting clinical assessments, collaborating with healthcare providers, and ensuring compliance with regulatory requirements.Key Responsibilities:Conduct clinical...
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Registered Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...
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Registered Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...
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Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse - Utilization ReviewVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Key Responsibilities:Conduct clinical assessments, including...
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Nurse Utilization Review Specialist
3 weeks ago
New York, New York, United States VNS Health Full timeJob Title: Registered Nurse Utilization ReviewVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for conducting clinical assessments, collaborating with healthcare providers, and ensuring compliance with regulatory requirements.Key Responsibilities:Conduct clinical assessments,...
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RN Utilization Review Specialist
2 weeks ago
New York, New York, United States SSM Health Full timeJob SummarySSM Health is seeking a skilled RN Utilization Review Specialist to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring payors receive accurate clinical information to support services provided by our hospital.Key ResponsibilitiesReview electronic medical records and screen clinical...
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RN Utilization Review Specialist
3 weeks ago
New York, New York, United States Confident Staff Solutions Full timeJob SummaryWe are seeking a highly skilled RN Utilization Review Specialist to join our team at Confident Staff Solutions. As a key member of our Utilization Management team, you will play a critical role in ensuring the efficient use of healthcare resources.Key ResponsibilitiesConduct concurrent reviews of patients' clinical information to identify...
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Clinical Utilization Review Nurse
2 weeks ago
New York, New York, United States VNS Health Full timeJob SummaryVNS Health is seeking a skilled Registered Nurse to join our team as a Clinical Utilization Review Specialist. In this role, you will be responsible for resolving grievances, appeals, and external reviews for our Managed Long Term Care, Medicare Advantage, and Select Health product lines.Key Responsibilities:Investigate and review routine and...
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Utilization Review Specialist
4 weeks ago
New York, New York, United States StateJobsNY Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Manhattan Psychiatric Center. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...
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Utilization Review Specialist
3 weeks ago
New York, New York, United States StateJobsNY Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at the New York State Psychiatric Institute. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental...
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Utilization Review Specialist
4 weeks ago
New York, New York, United States StateJobsNY Full timeJob SummaryManhattan Psychiatric Institute is seeking a highly skilled Utilization Review Coordinator to play a critical role in ensuring the delivery of high-quality services to our patients.Key Responsibilities:Review clinical records for completeness and accuracy to ensure compliance with established standards.Collect and analyze data related to the...
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Clinical Utilization Review Nurse
2 weeks ago
New York, New York, United States VNS Health Full timeJob Title: RN - Clinic Utilization ReviewVNS Health is seeking a skilled Registered Nurse (RN) to join our team in Clinic Utilization Review in New York. As a key member of our team, you will play a crucial role in resolving grievances, appeals, and external reviews for VNS Health Plans product lines.Key Responsibilities:Ensure regulatory compliance and...
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Travel Nurse RN Utilization Review
1 week ago
New York, New York, United States Supplemental Health Care Full timeJob Title: Utilization Review Registered NurseSupplemental Health Care is seeking a skilled Utilization Review Registered Nurse to join our team in Syracuse, New York.Job Summary:We are looking for a dedicated and compassionate Registered Nurse to work as a Utilization Review professional in a hospital setting. The ideal candidate will have a strong...
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RN Utilization Review Specialist
1 week ago
New York, New York, United States SSM Health Full timeJob SummaryAs a Utilization Review Nurse with SSM Health, you will play a critical role in ensuring that payors receive accurate clinical information to support services provided by our hospital. Your expertise will help ensure that our hospital receives authorization from payors, ensuring seamless care for our patients.Key ResponsibilitiesReview electronic...
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Travel Nurse RN Utilization Review Specialist
3 weeks ago
New York, New York, United States Planet Healthcare Full timeJob OpportunityPlanet Healthcare is seeking a skilled travel nurse RN to fill a Utilization Review position in Syracuse, New York.Key ResponsibilitiesSpecialize in Utilization Review as a Registered NurseCollaborate with healthcare professionals to optimize patient careEnsure efficient use of healthcare resourcesDevelop and implement effective utilization...
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Utilization Review Nurse
4 weeks ago
New York, New York, United States VNS Health Full timeAbout the JobVNS Health is seeking a skilled Nurse Care Coordinator to lead interdepartmental quality improvement activities, ensuring optimal patient care and compliance with regulatory requirements.Key ResponsibilitiesConduct Clinical Assessments: Perform medication reconciliations, post-discharge transitions of care assessment, and follow-up post...