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Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health 's network includes over 27,000 primary care providers, specialists and participating clinics.
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Posted job title: Rn Utilization Review, Clinical About VNS Health VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Hoboken, New Jersey.
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As a wholly owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health network includes over 27,000 primary care providers, specialists and participating clinics.
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The Ambulatory Care Nurse provides comprehensive care in support of all patients manifested requirements through: administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.
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Qualified candidates will be a NYS RN with extensive experience within Quality Management, Quality Assessment, Quality Improvement, Utilization Review or Risk Management, at Management level positions, and will have prior Hospice, Palliative Care and/or Certified Home Health Agency (CHHA) experience with Medicare CMS, CPHQ Certified, preferred.
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Posted job title: Cardiac Cath Lab Technologist About Supplemental Health Care At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to world-class service in healthcare staffing.
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Previous experience in inpatient acute care case manager/discharge planning, certified home health care (CHHA), Case Management experience, utilization experience, or managed care organization experience required.
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Job Functions: Support high-cost/high-risk patients to address barriers to care and navigation challenges across the care continuum by prioritizing health and SDOH needs, addressing gaps in internal and external resources, and sustainable connections to medical homes and sustainable social supports to improve the patient experience, achieve better health outcomes, decrease avoidable cost and utilization, and increase the utilization of preventative care and healthy behaviors to improve health.
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With affiliations with Memorial Sloan-Kettering Cancer Center and The Rockefeller University the facility is truly committed to remaining on the cutting edge of research and patient care. Critical care nurse, CCU RN, intensive care nurse, ICU nurse, ICU nursing, ICU, intensive care, critical care, registered nurse, RN, R.N., nurse, nursing, healthcare, health care, patient care.
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Ambulatory Care Nursing - Mount Sinai Hospital Duties Continued. Ambulatory Care Nursing - Mount Sinai Hospital. Tact Staff is seeking a travel nurse RN Ambulatory Care for a travel nursing job in New York, New York.
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Posted job title: Physical Therapist Assistant About LHC Group LHC Group is the preferred post-acute care partner for hospitals, physicians, and families nationwide. Responsibilities The Home Health Physical Therapist Assistant (PTA, LPTA) performs treatment and provides exercise instruction and patient education aimed at improving/enhancing the patient's well-being while following the established plan of care.
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In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
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LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
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care utilization jobs Company: Metroplus Health Plan in Newark, NJ
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