Current jobs related to Utilization Review Nurse Specialist - Coeymans, New York - Albany Medical Center
-
Orthopedic Nurse Specialist
3 weeks ago
Coeymans, New York, United States Albany Medical Center Full timeDepartment/Unit: Elective Orthopedics - B3W Work Shift: Night Orthopedic Nurse Specialist: At Albany Medical Center, we are seeking a skilled Orthopedic Nurse Specialist to care for post-surgical and orthopedic trauma patients in our elective orthopedics unit. The ideal candidate will contribute to creating a compassionate environment for patients and...
-
IT Support Specialist
2 weeks ago
Coeymans, New York, United States Fusco Personnel Inc Full timeSeeking a skilled IT Support Specialist to join our team at Fusco Personnel Inc. in the Capital Region, NY area. As a Support Center Engineer II, you will be responsible for providing top-notch technical support to clients via various communication channels.Key Responsibilities:Perform triaging, troubleshooting, and support to clients via telephone, chat,...
-
Clinical Nurse Specialist
4 weeks ago
Coeymans, New York, United States Albany Medical Center Full timeJob SummaryAt Albany Medical Center, we are seeking a skilled Clinical Nurse to join our team. As a Clinical Nurse, you will play a vital role in providing high-quality patient care and collaborating with our nursing team to create a Plan of Care for all patients.Key ResponsibilitiesImplement physician orders and administer medications as requiredStart IVs,...
-
Clinical Oncology Nurse Specialist
3 weeks ago
Coeymans, New York, United States Infojini Full timeKey Responsibilities:As a skilled Oncology RN, you will provide high-quality patient care in an outpatient setting, managing infusion chemotherapy and other treatments. Your expertise in peripheral IV insertion, port/fistula/catheter care, and certification in oncology nursing will be invaluable to our team at Infojini.Certifications and Qualifications:ACLS...
-
Senior Cardiac Care Nurse Specialist
3 weeks ago
Coeymans, New York, United States Albany Medical Center Full timeJob Summary:As a Senior Cardiac Care Nurse at Albany Medical Center, you will be responsible for assessing, coordinating, and managing the needs of assigned patients in the medical/surgical cardiac unit. Your primary focus will be on their progress toward discharge, ensuring they receive the highest level of care.Key Responsibilities:Administer medications...
-
Advanced Practice Nurse
4 weeks ago
Coeymans, New York, United States Albany Medical Center Full timeJob Summary:As a key member of our Anesthesiology General team at Albany Medical Center, you will play a vital role in managing inpatient acute pain services at a Level 1 Trauma Center. Your expertise will be essential in performing inpatient consultations and coordinating interdisciplinary services to provide customized analgesic regimens and complex...
-
Advanced Practice Nurse
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timePain Management OpportunitiesThe Albany Medical Center is seeking an Advanced Practice Nurse to join our Anesthesiology Department. As a Pain Management Specialist, you will be responsible for managing an inpatient acute pain service at a Level 1 Trauma Center. Your duties will include performing inpatient consultations, coordinating interdisciplinary...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, United States MRG Exams Part timeJob DescriptionJob DescriptionWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner or Physician Assistant
2 weeks ago
Coeymans, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner
4 weeks 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. The successful candidate will be responsible for managing an inpatient acute pain service at a Level 1 Trauma Center.Key ResponsibilitiesPerform inpatient consultations and coordinate with interdisciplinary services and providers.Develop and implement...
-
Registered Nurse
2 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeWe are seeking a compassionate and detail-oriented Registered Nurse to join our outpatient Pediatric Developmental & Behavioral clinic. You will work under the direction of the practice physician and/or advanced practice provider, providing direct patient care, triage, assessment, planning, and evaluation of patient care plans. Key Responsibilities: Obtain...
-
Nurse Practitioner
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeJob Summary:Albany Medical Center seeks a skilled Registered Professional Nurse to join our Hematology/Oncology team. As a key member of our caregiving team, you will be responsible for assessing, coordinating, and managing the needs of assigned patients throughout their episode of care.Responsibilities:Assess and coordinate patient care needs, focusing on...
-
Operating Room Nurse Specialist
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeDepartment/Unit: Operating Room Work Shift: Staffing Options Program As a key member of the Operating Room team at Albany Medical Center, the Operating Room Registered Nurse plays a vital role in delivering exceptional patient care. Responsibilities include implementing physician orders, administering medications, and performing treatments and procedures. To...
-
Clinical Nurse: Cardiac Care Specialist
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeJob Summary: We are seeking a skilled Clinical Nurse to join our Medical Cardiology department at Albany Medical Center. As a key member of our caregiving team, you will be responsible for coordinating and managing the needs of patients throughout their care, with a focus on progress toward discharge.Key Responsibilities:Assess patient needs and implement...
-
Post-Surgical Short Stay Nurse Specialist
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timePost-Surgical Short Stay Nurse The Post-Surgical Short Stay Nurse plays a vital role in creating a compassionate and caring environment for patients, families, and colleagues. This is achieved through displays of kindness, active listening, and recognition of the value of each employee's work. Administers medications, starts IVs, performs treatments,...
-
Senior Cardiac Care Nurse Specialist
4 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Senior Cardiac Care Nurse to join our team at Albany Medical Center. As a key member of our medical-surgical cardiac unit, you will be responsible for assessing, coordinating, and managing the care of assigned patients.Key ResponsibilitiesAdminister medications and perform treatments and procedures as prescribed by...
-
Clinical Nurse II
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full timeJob Summary: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 transitions within the acute care stay. The Registered Professional Nurse is responsible for the delivery and coordination of...
-
Senior Clinical Nurse
3 weeks ago
Coeymans Hollow, United States Albany Medical Center Full time**Job Summary**The Senior Clinical Nurse - Vascular Surgery is a key member of our healthcare team, responsible for delivering high-quality patient care and collaborating with physicians and other healthcare professionals to ensure the best possible outcomes.**Key Responsibilities** Implement physician orders and administer medications as required Perform...
-
Nurse Practitioner or Physician Assistant
3 weeks ago
Coeymans, NY, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
-
Nurse Practitioner or Physician Assistant
2 weeks ago
Coeymans, NY, United States MRG Exams Full timeWork can be performed by a Nurse Practitioner or Physician AssistantWe are looking for the right Nurse Practitioner or Physician Assistant to perform medical assessments on United States Veterans as part of the VA's disability benefits process.In performing Disability Assessments, you will review medical records electronically through a web portal and...
Utilization Review Nurse Specialist
2 months 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 cases to determine medical necessity and appropriateness of care.
- Apply MCG criteria to monitor and improve the quality of care, reducing unnecessary hospital stays and resource utilization.
- Collaborate with healthcare teams to identify areas for clinical documentation improvement and implement changes to optimize patient outcomes.
- Identify at-risk populations and develop strategies to improve care coordination and reduce hospital readmissions.
- Monitor length of stay (LOS) and ancillary resource use, taking proactive steps to achieve continuous improvement.
- Communicate with payors and healthcare teams to resolve issues and ensure seamless care transitions.
- Utilize quality screens to identify potential issues and report findings to the Quality Department.
- Participate in case reviews and inter-rater reliability studies to ensure accurate and consistent application of MCG criteria.
- Facilitate removal of delays and document delays when they exist, reporting to the Triad Team as needed.
- 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.
- Assertive and creative problem-solving skills, critical thinking, systems planning, and patient care management.
- Self-directed with the ability to adapt in a changing environment.
- Basic knowledge of computer systems with skills applicable to utilization review process.
- Excellent written and verbal communication skills.
- Working knowledge of MCG criteria and ability to implement and utilize.
- Understanding of Inpatient versus Outpatient surgery and ICD10-Coding (preferred) and Observation status qualifications.
- Ability to work independently and demonstrate organizational and time management skills.
- Strong analytic, data management, and PC skills.
- Working knowledge of Medicare regulatory requirements, Managed Care Plans.
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.
