RN Utilization Review Specialist - Care Optimization
$82.74k - $113.57kRochester Regional Health
Rochester General Hospital is seeking a full-time Registered Nurse for its Utilization Management department. The role involves evaluating hospital admissions, managing resource utilization, and ensuring compliance with regulations. Candidates should have a Bachelor’s or Associate’s Degree in Nursing, excellent communication skills, and the ability to adapt to changes in health system needs. A strong understanding of medical management techniques is beneficial. The position offers a competitive salary ranging from $82,742 to $113,568. #J-18808-Ljbffr
- ...Registered Nurse IDepartment: Utilization ManagementLocation: Rochester... ...DaysSUMMARY:The Utilization Review Specialist actively participates in the... ...maximizing accuracy of level of care determinations with the... ...American Heart Association (AHA), RN - Registered Nurse - New York...SuggestedFull timeLocal areaMonday to FridayFlexible hours
$62.4k - $96.08k
...healthcare provider in Rochester, NY is seeking a Utilization Management Coordinator responsible for... ...regulations. This role involves clinical reviews, working with various healthcare... ...caseloads. Candidates must have an active NYS RN license, clinical experience, and strong...SuggestedRemote work- ...Summary The Registered Nurse (RN) provides direct nursing care in accordance with... ...conditions as appropriate, to optimize their health outcomes.... ...outcomes of care processes by utilizing information, resources... ...of specialty: Breast Specialists – Commission on Cancer Certification...SuggestedMonday to Friday
$29.05 - $67.97 per hour
...Molina Healthcare is seeking a Clinical Reviewer in Rochester, NY, to utilize clinical expertise for medical... ...utilization review, and possess an active RN license. Responsibilities include... ...records, and identifying quality of care issues. The position offers a competitive...SuggestedHourly pay- ...admissions and discharges, primarily focusing on flow and care quality. The position requires RN expertise in an acute care setting, with... ...including collaboration with health care team members for optimal patient outcomes. Candidates should possess a BS in Nursing...SuggestedFull timeFlexible hours
$79.56k - $109.2k
...Rochester Regional Health is seeking a Care Facilitator to join their team at Unity Hospital in Rochester, NY. This... ...Facilitator will be responsible for conducting clinical reviews, monitoring resource utilization, and liaising with payors. The ideal candidate will hold...Full time$69.38k - $92.28k
...Join Us in Shaping the Future of Health Care At MVP Health Care, we're on a mission... ...As a Professional Concurrent Review RN, you'll have the opportunity to apply your... ...experienced RNs looking to expand into utilization management, this position provides exposure...Contract workRemote work$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and... ..., responsible for review of documentation to ensure... ...appropriate level of care utilizing MCG/InterQual... ...• Registered Nurse (RN). License must be active... ...Certified Medical Audit Specialist (CMAS), Certified Case...Hourly payWork experience placementWork at office$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and... ...experience, responsible for review of documentation to... ...appropriate level of care utilizing MCG/InterQual... ...experience. - Registered Nurse (RN). License must be... ...Medical Audit Specialist (CMAS), Certified Case...Hourly payWork experience placementWork at office- ...TotalMed is seeking an Operating Room - OR RN Travel Nurse in Rochester, New York. Candidates are required to have 1-2 years of recent acute care experience, preferably as a circulating or scrub nurse. Responsibilities include assisting surgical procedures, patient education...Weekly pay
$38.76 - $50.39 per hour
...A prestigious research university is seeking a healthcare professional to provide direct patient care in their cardiac and vascular unit. Candidates should have at least 1 year of experience in critical care and strong critical thinking skills to manage acutely ill patients...Hourly pay$2,200 - $2,500 per week
...A healthcare staffing agency is seeking a Travel Med/Surg Orthopedic Trauma Registered Nurse (RN) to work in New York. The role involves providing patient care for orthopedic and trauma patients. Candidates should have at least 2 years of RN experience, with an active...Contract workRotating shift- ...Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As...
- ...Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As...Temporary workFlexible hours
- ...Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As...
- ...Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As...
$1,872 per week
...seeking a travel nurse RN Med Surg / Telemetry for... ...: Peripheral Line Care/ManagementRespiratory:... ...care to facilitate and optimize stroke care during the... ...requirement Background policy - reviewed on case-by-case basis... .... Prime Staffing utilizes a unique matchmaking approach...Permanent employmentContract workTemporary workZero hours contractShift workNight shiftWeekend work- ...MedPro Healthcare Staffing is seeking a travel nurse RN CVOR First Assist for a travel nursing job in Rochester, New York. This role... ...involves providing surgical preoperative and postoperative patient care management. The successful candidate will have at least eighteen...Weekly pay
- ...delivering comprehensive nursing care to patients with... ...with regulatory requirements. Review daily procedure schedules in Athena... ...criteria and chart review. Utilize Provation for accurate pre-, intra... ...Current Registered Nurse (RN) license required Bachelor...Full timeWork at office
- ...delivering comprehensive nursing care to patients with... ...with regulatory requirements. Review daily procedure schedules in Athena... ...criteria and chart review. Utilize Provation for accurate pre-, intra... ...Current Registered Nurse (RN) license required Bachelor...Daily paidWork at office
$2,380 per week
...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: Rochester, NY... ...Scale), Renal surgery*, Reversal agents, Review History and Physical, Robotics,... ...clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing...Permanent employmentFull timeContract workTemporary workLocal areaShift workNight shiftWeekend work$2,106 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Rochester... .../Phlebotomy: Peripheral Line Care/ManagementRespiratory: Nasal... ...based care to facilitate and optimize stroke care during the primary... ...Background policy - reviewed on case-by-case basis Return staff...Full timeContract workShift workNight shiftWeekend work$38.67 - $51.92 per hour
...SUMMARY: As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health. You... ...based practice to facilitate and optimize stroke care during the primary... ...ongoing assessment of the patient, utilizing appropriate data (i.e., physical,...Full timeLocal areaFlexible hoursNight shift- ...support, coach, coordinate care and review treatment options, through collaboration... ...interventions to ensure optimal and cost-effective health... .... Examples may include: Utilization Management, Quality, Behavioral... ...preferred. Active NYS RN or Registered Dietician or Physical...Work at office
- ...York. This position offers a 13-week contract with 36 hours of work per week on a rotating 12-hour shift schedule. The role requires an RN with experience in the Operating Room, providing essential support during surgical procedures. Competitive pay package and tax-free...Contract workRotating shift
$26.48 per hour
...Child and Family Team Specialist Youth and Family Partnership, Monroe County DHS... ...Compensation: $26.48/hour Put the CARE in your CAREER! At CCSI, our mission... ...around services to youth and their families, utilizing an integrative care model, to ensure that...Full timeWork at officeLocal areaTrial periodFlexible hours$21.4 per hour
...Permanency Specialist Hillside Institute for Family... ...'s Therapeutic Foster Care Program Central Region... ...expertise in Service Plan Reviews, Treatment Conferences... ...in a timely manner utilizing effective written and... ...Leverages Relationships, and Optimizes Decision Making, the...Part timeCurrently hiringAfternoon shift$23.06 - $32.29 per hour
...electrophysiologic and other scientific data utilizing standard methods and develops... ...such as protocols, reports, reviews, publications, manuscripts,... ...study site databases or optimizing recruitment strategies.... ...higher education or health care, the University of Rochester...Hourly payFull timeWork experience placementLocal areaShift work- ...File Compliance Specialist, Real Estate - Remote Responsibilities Work closely with our team to ensure a complete online broker file... ...CAR forms and be able to ascertain their completeness. Review a high volume of documents continuously without shifting focus...Work at officeRemote workShift work
$33.6 - $42.8 per hour
...RN Clinical Coordinator Join us in caring for the most important people on Earth. We reward... ...best practices and optimal quality of care within the... ...the IDT team. Reviews nursing documentation for... ...response to care as necessary, utilizes nursing process to...Weekend workDay shift
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