Senior RN - Utilization Review & Discharge Planning
New York State Department
Minimum Qualifications License and current registration as a registered professional nurse in New York State. Three years of post-licensure clinical nursing experience, including one year in utilization review and/or discharge planning. Description Duties will be discussed at the time of interview. Qualifications A bachelor's degree in nursing can substitute for one year of post-licensure clinical nursing experience. A master's degree in nursing can substitute for two years of post-licensure clinical nursing experience. Additional Comments Please include a copy of your NYS Registration License when submitting a resume. #J-18808-Ljbffr
$30.58 - $55.09 per hour
...Position Purpose Routinely reviews more challenging prior authorization... ...for a member’s transfer or discharge plans to ensure a timely discharge... ...with healthcare providers, utilization management team, and care... ...state plan and requires NY RN Licensure. Pay Range $30.58...SeniorHourly payFull timePart timeWork at officeRemote workFlexible hours$60 - $65 per hour
...Job Description Job Description Registered Nurse (RN) – Utilization Review Location: Syracuse, NY Job Type: 14-Week Contract... ...agencies regarding authorization decisions. Support discharge planning and appropriate level-of-care transitions. Ensure compliance...SuggestedContract workLocal areaMonday to FridayShift workDay shift$71.61k - $111k
...9.20 Responsibilities Responsible for Utilization Management, Quality Screening and Delay... .... While performing utilization review identifies areas for clinical documentation... ...management, utilization management and/or discharge planning/home care in a high volume, acute care...SuggestedShift work$84.78k - $131.41k
...3.00 - $131,414.00 Responsible for Utilization Management, Quality Screening and Delay... ...Care and/or previous Utilization Review roles. Qualifications and Ideal Characteristics... ..., utilization management and/or discharge planning/home care in a high volume, acute care...SuggestedShift work$47.79 - $53.45 per hour
...Department of Title Registered Nurse 3 - Utilization Occupational Category Health Care,... ...of which one year was in utilization review and/or discharge planning.Substitution: a bachelor's degree in... ...your cover letter, resume, and NYS RN license preferably as a PDF...SuggestedHourly payFull timeTemporary workRemote workDay shift$26.41 - $61.79 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementLive inWork at office$84.78k - $131.41k
...Overview Under direction of the Manager of Utilization Management, the Utilization Management... ...role acts as a liaison with payors and review agents, providing required acuity information... ...colleagues. Strategic and Operational Planning: Supports the Manager in planning,...Work at officeShift work$180k - $200k
...Leading New York health system seeks a Senior Director of Perioperative Services to provide... ...leadership. Establish a financial plan and utilize data to make strategic decisions.... ...to plan and evaluate staffing patterns, discharge and/or volume targets. Guides clinical...SeniorLocal area- ...State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience in patient care and...Remote work
- ...ensuring quality care through various responsibilities, including discharge planning. This position requires a Bachelor's degree and at least 3... ...of clinical experience, particularly in case management or utilization management in an acute care setting. The Case Manager will...
$77k - $202k
...involve working in fields such as urban planning, environmental management, natural resource... ...GIS applications-based solutions. As a Senior Associate you analyze complex problems, mentor... ...rigorous standards in deliverables Utilize firm methodologies and technology...SeniorFull timeH1b$81.7k - $135k
...working world. Tax - Indirect Tax - Sales and Use Lookback Review COE - Senior Will you shape the future or will the future shape you?... ...credibility as a trusted advisor Develop clear, intelligent plans and approaches for sales and use tax recoveries Prepare...SeniorSummer holidayImmediate startFlexible hours$96.8k - $306.4k
...Job Description The Senior Principal AI Agent / ML Software Engineer... ...hands-on in design, code, reviews, operations, and incident... ...systems capable of reasoning, planning, tool use, workflow execution... ...workloads for latency, throughput, utilization, availability, and cost....SeniorTemporary workFlexible hours- ...Location Anywhere in Country Power & Utilities Sector At EY, we are at the forefront of guiding... ...– AI Native Engineering AI Engineering, Senior Manager, Consultant The opportunity EY... ...EV, and demand response impacts Capital planning analytics and risk‑based investment...SeniorSummer holidayFlexible hours
$71.61k - $111k
...healthcare institution in Albany is seeking a Utilization Review Nurse to oversee utilization management... ...candidate will hold a New York State RN license and possess experience in case... .... This is a full-time position at a mid-senior level, offering a competitive salary range...Full time$38 - $50.18 per hour
...St. Peter's Health Partners is seeking an RN Liaison for the Albany Medical Center Campus. This full-time role involves assisting with homecare referrals and discharge planning, requiring strong communication and organizational skills. Candidates need a NYS Registered...Hourly payFull time- Molina Healthcare in Albany, NY, is seeking a clinical review specialist to ensure medical necessity and appropriate care levels. Candidates... ...least 2 years of clinical nursing experience and hold an active RN license. Responsibilities include reviewing medical claims,...Work at office
$44 - $58.1 per hour
...looking for an experienced RN to assist in the... ...Identification / Solutions, Plan, Implement, Evaluate (... ...-based healthcare; Utilizes transformational leadership... ...management / review process; Contributes to... ...Healthcare Management (CPHM) Discharge planning and community...Hourly payFull timeLocal areaShift workDay shift$40 - $53.1 per hour
...Albany, NY. This full-time position requires a current New York RN license and BLS certification, with a preference for candidates... ...OR experience. Responsibilities include assessing patient needs, planning and delivering care, and ensuring quality nursing services. The...SeniorHourly payFull timeDay shift$165k - $175k
...Join Us: Step Into a High‑Impact Senior Construction Project Manager Role... ...and participate in monthly project review meetings Prepare proposals, project plans, extra work authorizations, project... ...relationships with investor-owned utilities is highly preferred Professional licensure...SeniorContract workWork at office- ...are seeking part or full-time Senior Scientists/Project Managers to... ...York. The Senior Scientist will plan for and coordinate efficient environmental and regulatory review and permitting of projects,... ...also be knowledgeable of the utility/energy markets including demonstrated...SeniorFull timePart timeWork at officeLocal areaWork from homeFlexible hours
$60 per hour
...Job Description Job Description RN Clinical Reviewer - Jericho or Albany, NY (#25332) Location... ...Act ~ Health Insurance subject to plan eligibility requirements Work... ...the purpose of quality improvement or utilization review, preferred. Knowledgeable of...Hourly payFull timeTemporary workPrivate practiceWork at office- ...Description Job Description Senior Relativity Archiving Analyst... ...and file transfer utilities. - Excellent written and oral... ...Experience in storage technology planning, performance capacity planning... ...the hiring process, such as reviewing applications, analyzing resumes...SeniorFull timeFlexible hours
$71.4k - $135k
...Title Senior Technical Analyst Location Albany, New York, United... ...designs align with approved plans Assessing the quality of contractor... ...improvements Performing code reviews on various components of the... ...to defined standard criteria Utilizing comprehensive understanding...SeniorContract workTemporary workFor contractorsLocal areaFlexible hours$36 - $47.52 per hour
...Description If you are looking for an RN II position in Albany, this... ...and accountability to utilize the nursing process to diagnose... ...in electronic medical record. Review and update medication list to... ...provider. Performs pre‑visit planning and reviews quality metrics. Retrieves...Hourly payFull timeWork at officeLocal areaMonday to FridayShift workDay shift- ...deliver care to inmate patients utilizing the nursing assessment protocols in assessment, planning, intervention, implementation,... ...inmate patient education and/or discharge planning. Record all care... ...nursing. Current, unrestricted RN license in the state of employment...Work experience placementShift workNight shiftWeekend work
$100k - $125k
...LaBella is seeking a full-time Senior Landscape Architect, located... ...executing LaBella's business plan for our Eastern Region. This... ...project basis. Provide design peer review for Civil Division projects... ...assigned. Maintain a target utilization goal set by Discipline Leader...SeniorFull timeTemporary workLocal areaFlexible hours$36 - $47.52 per hour
...NY. If you are looking for an RN II position in Albany, this could... ...and accountability to utilize the nursing process to diagnose... ...in electronic medical record. Review and update medication list to... ...provider. Performs pre-visit planning and reviews quality metrics. Retrieves...Hourly payFull timeWork at officeLocal areaMonday to FridayShift workDay shift$109.2k - $223.4k
...OCI is seeking an experienced and driven Senior Principal Technical Program Manager (IC5)... ...meetings, leadership meetings, operating reviews, and key org cadences; drive agendas, pre... ...and partner organizations; define scope, plans, milestones, and mechanisms to deliver...SeniorTemporary workFlexible hours$96.8k - $251.6k
...observability, runbooks, incident-prevention practices, readiness reviews, reliability metrics, and customer escalation discipline.... ...through design reviews, technical direction, execution planning, and examples of senior-level ownership in ambiguous environments. Translate...SeniorTemporary workFlexible hours
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