Making decisions regarding certification or denial of treatment. Qualifications for this position include: Associate Degree in Nursing. NewYork RN licensure. 4 years clinical experience. Thorough knowledge of both C. P. T. and I. C. D. 9 codes. Computer literate.
Registered Nurse with current, valid NewYork state licensure required. Must have proficient computer skills, including Microsoft Office programs. Ability to effectively manage a minimum caseload of 35 files.
Master’s Degree in a Nurse Practitioner Program. Current license to practice as a Registered Professional Nurse and a Nurse Practitioner in NewYork State. National Board Certification in Acute Care, Adult, Family, and/or Geriatrics. DEA certificate or in the process of obtaining.
Required Skills: Registered Nurse with current, valid NewYork state licensure. Ability to effectively manage a minimum caseload of 35 files. Ability to demonstrate accuracy and thoroughness. Proficient computer skills, including Microsoft Office programs.
A staffing agency is in need of a Remote Utilization Management Nurse Supervisor. Must be able to: Compile data for productivity reports on a weekly basis to support staffing decisions and quality metrics Monitor daily UM reports and identify any potential issues Conduct quality
2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in NewYork and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
A healthcare risk management service provider is seeking a Remote Telephonic Case Manager Registered Nurse. Core Responsibilities of this position include: Developing a comprehensive case management plan Coordinating medical care telephonically Working with Insurance carriers, Employers,