Registered Nurse - Case Manager/Utilization Review - SUNYWNYRN Job at NavitsPartners, Hamburg, NY

NkJrRENIeExIMEI5a1Y5aG5BN3lyR2JoYnc9PQ==
  • NavitsPartners
  • Hamburg, NY

Job Description

Registered Nurse – Case Manager/Utilization Review

Qualifications:

  • Current New York State Registration.
  • Certified in BLS and able to be recertified.
  • Minimum of two years of experience in case management, utilization review, or a hospital setting.
  • Experience with EPIC Electronic Medical Records preferred.
  • Strong knowledge of medical coding, insurance review, and hospital reimbursement processes.

Duties:

  • Reviews patient cases for appropriate hospital admissions and continued stay requirements.
  • Ensures efficient resource utilization and adherence to medical necessity criteria.
  • Communicates with insurance providers for authorization and reimbursement.
  • Coordinates discharge planning and transitions of care.
  • Maintains documentation in compliance with regulatory guidelines.

Pay: Medium weekly pay range: $2,500 - $3,200 per week

Job Tags

Weekly pay,

Similar Jobs

Cedar Park Group

Registered Nurse - RN - Case Manager Job at Cedar Park Group

 ...Cedar Park Med is seeking Registered Nurses (RN)- Case Managers/Utilization Review/CDI.We are looking for caring and compassionate people to join our team, who are prepared to work a flexible schedule. Becoming our employee gives you the opportunity to choose to work... 

Music Ministry International

Catholic Music Director Pianist or Organist Job at Music Ministry International

The successful candidate for this position will be a 1099 contractor with Music Ministry International and be responsible for the following: 3.2.1. Catholic Music Director. The Catholic Music Director shall provide the necessary services to perform choir and congregational...

Houston Methodist

Pharmacy Technician - PRN - Days - Oncology Job at Houston Methodist

 ...At Houston Methodist, the Pharmacy Technician position is responsible for completing a variety of routine pharmacy services related to medication...  ..., etc) regardless of selection below. ~ On Call* No TRAVEL****Travel specifications may vary by department** May... 

Grand Casino

Spa Massage Therapist Job at Grand Casino

 ...The Opportunity Administer professional Spa Services to Guests, utilizing knowledge of and providing services based on licensing and/or certifications held. To do well in this role, you will need to have excellent customer service skills. You should also be capable of... 

National Testing Network

Police Officer-City of St. Mary's Job at National Testing Network

 ...) Top Wage: $30.21/hour Employees with an associate degree or higher in law enforcement, police science, criminology, or criminal justice receive an additional $1.05/hour after completing the training period. Benefits Information: Health and life insurance...