...appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations...
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Permanent employment
Shift work
...Avenue Albany, NY 12208
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for Utilization Management, Quality Screening and Delay Management for...
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Permanent employment
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...opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Clinical Review and Coding Nurse is responsible to attain procedure and diagnosis coding accuracy and consistency on referred cases. The RN will perform and...
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Work experience placement
Flexible hours
...Equiliem is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Albany, New York.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/24/2024
~ Duration: 52 weeks
~36 hours...
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Contract work
Local area
Flexible hours
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Professional, Concurrent Review - RN
625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA • Vermont,... ...with current/active New York State licensure required.
BS in Nursing or Health Management is preferred.
Minimum Experience: 3+ years...
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Afternoon shift
...based role supporting the clinical biological lab space. Utilization and application of scientific knowledge and techniques for data review activities supporting potency and bioassays.
* Read and follow defined procedures
* Review of logbook and lab notebooks for...
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...Job Title: QA Specialist - DHR Reviewer
Job Location: Latham, NY
Job Duration: 6 Months
Pay Range: $30/hr on w2.
Job Description:
The QA Specialist – DHR Reviewer is a member of the Manufacturing Quality team within the Philips MRI magnet manufacturing...
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...Department of Health (DOH) you will be primarily responsible for the day-to-day case management of Nursing Facility Quality of Care Complaints. As a Nursing Facility Resolution Reviewer you will interface with the resident &/or resident’s representative throughout the...
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...Nurse Reviewer - Quality Assurance in Albany, NY
Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to...
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Local area
Immediate start
...THE FOCUS IS YOU
As the Engagement Quality Reviewer, you will play a critical role in ensuring the quality and integrity of the firm's audit engagements. This position involves overseeing the review process of audit engagements to ensure compliance with professional...
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...Financial Analyst - Hospital Finance Review
Corning Tower, Albany, 100 S Mall Arterial, Albany, New York, United States of America Req #224
Tuesday, April 2, 2024
Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is...
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...Course Design Quality Reviewer
The course design quality reviewer will be a member of the design team in the Instructional Design and Development (IDD) unit at Excelsior University. Our team works closely with subject matter experts and other community and university...
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Local area
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JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, NY
Minimum of 2 years experience in the provision of clinical services... ...new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
If you...
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Private practice
...activities of ICF/MR facilities including utilization and quality reviews as well as, review and processing of referred reports to... ...Licensed RN and a graduate of an approved, registered professional nursing program, required. A Bachelor’s degree in Nursing, preferred. A...
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...capital grant awards
~ The work with financially distressed facilities that typically have a 75- 80% Medicaid payer mix will include review of annual budgets received from providers to request financial assistance, and monitoring cash flow information provided to the...
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Local area
...caregiver-to-patient ratio than other providers.
The New Nurse Graduate (NO Experience Required)provides specialized nursing care... ...Participate in patient care conferences, rounds and chart reviews
Facilitate continuity of care with local hospitals
Assist...
Holiday work
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Local area
Shift work
Sunday
...pended claims functions for durable medical equipment, private duty nursing, hearing aids, vision care, and dental. The Division also... ...functions including prior authorization for supplies and services, review of pended claims for pricing, timeliness of submissions and...
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...The Office of Aging and Long-Term Care is seeking a Registered Nurse to actively participate in the development and delivery of educational... ...interpret and communicate federal and state regulations, and review and analyze research and provider data to promote best clinical...
Permanent employment
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Elite Staffing Network is seeking a Nurse Practitioner in Schenectady, NY.
requiredMaster's degree or higher
Care Management (2+ years... ...approved transportation options Performs peer and team member review of work performance including quality of care, clinical...
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Monday to Friday
Job Title – Registered Nurse
Location - Albany, NY 12206
Shift time - M-F 9 am-5 pm.
Contract Duration – 24 months.
Duties Description... ...and focused to ensure the caller has ample opportunity to review their concerns.
Screen complaints to determine triage decision...
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Sunday
Saturday
