Rn Jobs in New York

Job Title: Appeals & Grievances Nurse Mgr Company: Reinhard-Madison Approach Staffing, Inc. Location: White Plains, NY Description: Appeals & Grievances Nurse Manager SPECIFIC JOB FUNCTIONS: 1. Supervises the Appeals and Grievance Unit Coordinators, manages the work allocation and ensures full compliance with Medicare Part C and Part D Appeals and Grievance Standards 2. Ensures incoming cases are accurately categorized and triaged appropriately. Assigned work and tracks completion.. Coordinates investigations with other departments. 3. Reviews pre-service appeal cases as well as post service appeals based on denials for lack of medical necessity. 4. Responds to DOI, DOH and CMS complaints, as well as to external appeal entities including the IRE. 5. Audits files and prepares reports, including aggregate statistics and trend analyses. Identifies and helps to address opportunities for process improvement in the organization 6. Responsible for handling escalated member and provider concerns with the dual goal of ensuing satisfaction and retention. 7. Serves as the primary liaison with other departments to resolve complex appeals, grievances and/or legal issues. Determines appeal and grievance outcomes that result in plan payment for services. ESSENTIAL SKILLS & QUALIFICATIONS 1. Registered Nurse preferred. 2. Minimum of 2 years supervisory experience of Appeals and Grievance functions in a managed care organization 3. Experience with Medicare complaints and extensive knowledge of regulatory issues relating to appeals and grievances strongly preferred. 4. Experience performing Utilization review preferred 5. Experience with Claims analysis also preferred. 6. Strong verbal and written communication skills, analytical ability. 7. Knowledge of industry coding systems and claims submission forms and formats. 8. Solid working knowledge of claims and medical management operations. 9. Must be able to use with ease Micro-soft office applications including Word and Excel, as well as to learn and easily use the health plan's core information systems 10. Must be able to work with a high case volume under time pressures to ensure high level of compliance in this heavily regulated and visible arena 11. Some weekend cover required

Job Title: bi-lingual/multi-lingual RN's Company: Location: Midtown Manhattan, NY Description: NYS Department of Education licensed school located in Midtown Manhattan seeks bi-lingual/multi-lingual RN's to teach Home Health Aide and Personal Care Aide certification in English, Spanish, Russian and Chinese. Must have at least one year verifiable experience teaching home health aides or two years verifiable experience in home care. Flexible schedules. Per Diem basis.

Job Title: Nurse Case Manager Company: Reinhard-Madison Approach Staffing, Inc. Location: White Plains, NY Description: Case Manager POSITION SUMMARY The nurse in this position is responsible for performing concurrent review for acute and/or sub-acute inpatient stays, inclusive of the admission review, as well as the ongoing inpatient stay. This review is conducted using Milliman Guidelines, with physician referral and review as appropriate. The nurse is also responsible for facilitating the implementation of discharge plans in conjunction with hospital discharge planners. ESSENTIAL RESPONSIBILITIES (1)Monitors medical necessity of length of stay and quality of care of all hospitalized members (2)Performs prior authorization of elective procedures/services with medical necessity review as required (3)Monitors medical necessity and length of service for outpatient and home care services (4)Identifies and refers cases to the chronic care improvement program (5)Directs services in-plan whenever possible (6)Initial review of all emergent admissions for medical necessity and appropriateness, using clinical guidelines for review (7)Review of ongoing acute and sub-acute stays for appropriateness, using clinical guidelines (8)Referral to and/or discussion with physician advisors on complex cases, or those cases which do not appear to meet clinical guidelines (9)Works with facility discharge planners to facilitate discharge planning (10)Builds and develops relationships with facilities to assure/promote positive changes and the appropriate use of resources (11)Works in conjunction with the CMO and the VP of Health Services for the appropriate resolution of problematic cases (12)Documents appropriately in order to ensure compliance with accrediting institutions related to turn-around times: NCQA, DOH, State, and Federal regulatory requirements according to HMO contract agreements (13)Establishes and maintains an environment that fosters teamwork, accountability, empowerment and excellence (14)Effectively prepares and presents case information during inpatient rounds EDUCATION, EXPERIENCE AND SKILLS REQUIRED (A)New York State RN license, Bachelors degree preferred (B)Strong clinical background (C)Minimum 2 years managed care utilization/case manager experience (D)Knowledge of Medicare Regulations (E)Previous experience with Medicare risk population preferred (F)Previous experience with PC based systems is required (G)Strong interpersonal skills (H)Strong written and verbal communications skills (I)Demonstrates ability to work effectively with Physicians (J)Ability to work in a dynamic and changing environment while effectively handling multiple competing priorities (K)Ability to promote positive behavioral changes (L)Bilingual preferred

Job Title: RN_NYC Company: Arms Acres, Inc. Location: Kew Gardens, NY Description: RN / Registered Nurse: We are hiring a PT Registered Nurse, 16 hours, for our outpatient substance abuse clinic in Kew Gardens, Queens. We are a union shop and an EOE employer. No weekends and no shift work will be required. Candidates must have a current NYS license. Duties will include: 1) indirect patient care 2) reviewing clients medical history 3) making sure that medical evaluations are signed by the doctor 4) making needed referrals. Fax resume to Register to View or e-mail to Register to View

Job Title: Field Nurse - Per Diem Company: UJC Home Attendant Service Corp. Location: New York, NY Description: Manhattan Licensed Home Care Agecny seeks Per-Diem Nurse to perform Nursing Assessements and Supervisory Visits. Documentation is per New York State DOH regulations. Compensation is on a per visit basis. Our cases are located throughout Manhattan.

Job Title: PRN Registered Nurse (RN) - CBOC Plattsburgh, NY - ReqCode 1822345 CRAssociates Company: New York's Job Exchange Location: Plattsburgh, NY Description: PRN Registered Nurse (RN) - CBOC Plattsburgh, NY - ReqCode 1822345 Register to View CRAssociates Job Description CRAssociates, Inc. (CRA) is a successful and diverse national healthcare management company that is committed to the delivery of high-quality health care services. Serving the needs of both government and corporate clients nationwide, CRA currently has an immediate need for a PRN Registered Nurse to be a key player in the continued success of this dynamic company. Providing a wide range of primary and mental health care services to government beneficiaries, our team of proven professionals has the knowledge, expertise, and support systems to solve complex health care delivery challenges everyday to a myriad of clients. We employ in excess of 1,100 physicians, nurses, and ancillary health care workers, who serve our clients throughout the U.S. and internationally. The Registered Nurse will support the Veterans Affairs Community Based Outpatient Clinic in Plattsburgh, NY. This position requires: * Baccalaureate Degree in Nursing, a Diploma Graduate Degree in Nursing, or an Associate Degree in Nursing. * A current unrestricted VT state license. *2 years experience. * Current and valid BLS certification. Must be a US Citizen With our focused healthcare delivery system, we have what we believe to be a first class employment opportunity that will provide you with a lifestyle you can enjoy. In exchange for your dedication and expertise, we are proud to offer you a team environment and competitive salaries. If you are a healthcare professional who takes pride in your work and wants to be appreciated for your efforts, apply today. EOE M/F/D/V Job Benefits not provided Job Summary Company Job ID: 15147617 Job Title: PRN Registered Nurse (RN) - CBOC Plattsburgh, NY - ReqCode 1822345 Company: CRAssociates Location: US - NY, Plattsburgh, 12901 AJE Reference Number: 529002377 Job Start/End Date: not provided Job Type: Temporary Job Classification: Part Time Hours/Week: not provided Salary Range: not provided N/A Education: Associates Degree Required Degree/ Formal Training: not provided Required Licenses/ Certificates : not provided Experience: Mid-Career (2 - 15 years) Company Homepage: not provided More Information

Job Title: RN - Registered Nurse - 5500 - Hematology/Oncology Rochester General Health System Company: New York's Job Exchange Location: Rochester, NY Description: RN - Registered Nurse - 5500 - Hematology/Oncology Register to View Rochester General Health System Job Description Company: Rochester General Health System Facility: Rochester General Hospital at Rochester Department: Nursing - 5500 Full Time & Per diem positions available A 26 bed unit medical unit specializing in the care of Hematology/Oncology patients and the administration of chemotherapy. Works closely with the Lipson Cancer Center which is an affiliate of the Roswell Cancer Center in Buffalo. Job Benefits not provided Job Summary Company Job ID: Register to View Job Title: RN - Registered Nurse - 5500 - Hematology/Oncology Company: Rochester General Health System Location: US - NY, Rochester, 14602 AJE Reference Number: 521633364 Job Start/End Date: not provided Job Type: Regular Job Classification: Full Time Hours/Week: not provided Salary Range: not provided N/A Education: not provided Required Degree/ Formal Training: not provided Required Licenses/ Certificates : not provided Experience: not provided Company Homepage: not provided More Information

Job Title: RN Case Manager Company: Metropolitan Jewish Health System Location: New York City, NY Description: At Metropolitan Jewish Health System, we’re not only celebrating 100 years of providing our communities with the best in patient care; we’re celebrating the dedicated employees who make that care possible. That’s why, as one of America’s pre-eminent, accredited health care systems, we are committed to providing the resources, recognition, education and development necessary to continually enhance our team. Whether it’s our fastest growing business segment—Metropolitan Jewish Home Care, or one of our other participating agencies and programs, we do this all in an environment that fosters camaraderie, warmth and compassion. Title:  RN Case Manager Agency/Program:  Metropolitan Jewish Hospice HR Req. #: 251193 Category: Nursing - Home Care Hospice Schedule: Shift: Status: Location: BRONX Job Description: Responsible for performing physical and psychosocial assessment on patients at the end stage of life. Develops and implements a nursing plan of care and makes recommendations for care based on patient's needs. Supervises, trains and evaluates home health aids, homemakers and personal care workers in patients' homes. Requests written orders from physicians for changes in the patient plan of care as needed. We truly value our staff and further acknowledge their contributions by offering: Employee and family health coverage Competitive salaries Employer contributed pension plan Generous time off Employee tuition reimbursement Dependent tuition reimbursement 403(b) retirement plan home care, nursing, RN, homecare, nurse, hospice, home care hospice, hospice nurse, hospice rn Job Requirements: Associates/Diploma from an accredited school of Nursing; BSN preferred. At least two years experience in Medical-Surgical, Community Health, and/or Oncology nursing preferred. Knowledge of Word and Excel preferred. New York State RN licensure and valid NYS Driver's license required. Ability to work within an interdisciplinary team environment. Possess teaching, communication, and listening skills. Ability to input clinical data proficiently. We are an equal opportunity employer M/F/D/V. www.mjhs.jobs

Job Title: Patient Care Director - RN - Central Sterile Processing Unit Company: NewYork-Presbyterian Hospital Location: New York City, NY Description: ResponsibilitiesBe A Leader Who Makes It PossibleYou are a change-agent, a visionary - someone with the drive, tenacity and leadership necessary to advance nursing practice at one of the world's most respected university hospitals.NewYork-Presbyterian is committed to nursing excellence. We welcome compassionate and ambitious nurse leaders who are eager to assume front line responsibility and accountability in managing all aspects of the delivery of quality, patient-focused care, and who will shape the strategic initiatives that will lead to even higher standards in the future.We have an opportunity available immediately as Patient Care Director - Central Sterile Processing for individuals with a demonstrated capacity to lead and motivate a team. You will lead and manage the patient care delivery activities of a highly skilled professional team on a 24/7 basis. MSN and leadership experience are required.#1 in New York. #6 in the Nation. - U.S. News and World Report, 'America's Best Hospitals 2009'Discover why we're #1 in New York - an unparalleled pursuit of excellence in patient care and the widest array of choices for your career. We're inviting the best nurses to work side-by-side to lead the way. Equal Employment OpportunityNewYork-Presbyterian Hospital is an Equal Employment Opportunity employer.

Job Title: Travel RN / Dialysis Company: Medical Staffing Network - Nationwide Location: Syracuse, NY Description: Earn great pay at top-notch facilities across the country! InteliStaf Travel can keep you on assignment and offers premium compensation packages which include comprehensive benefits and prestigious housing options.' Our travel nurses enjoy beautiful locations, phenomenal hospitals, and adventures of a lifetime. Bring a friend, family member, or even a pet with you and start creating incredible memories today! Travel with a leader in job security! InteliStaf Travel makes the unimaginable happen! We have thousands of contracts with hospitals in all fifty United States as well as exclusive partnerships offering premier opportunities and highly competitive pay packages. As an InteliStaf Travel Registered Nurse you'll receive great pay, top benefits, and a flexible schedule. InteliStaf Travel is one of the largest and most reputable travel nursing agencies. Here you'll have a dedicated recruiter focused on supporting you, understanding your career goals, and developing you professionally. We have the ability to keep you continually on assignment if you want to make travel nursing a long-term career option. Travel with the leader'Call us today! InteliStaf Travel Benefits: ' Free Private Housing or Housing Subsidy ' Paid Utilities ' Travel Expense Reimbursement ' Free BlueCross BlueShield Major Medical with optional Domestic Partner Coverage ' Vision / Dental PPO Insurance with Major Carriers ' 401K ' Life Insurance and Short Term Disability ' Flexible Tax Advantage Plan ' Liability and Workers' Compensation ' Direct Deposit with EZ View ' Custom Tailored Compensation Plans ' Working Advantage Discounts ' Free CEU's for qualified employees Enjoy: ' Great Pay ' Immediate access to recruiters ' Popular locations/ prestigious facilities ' Exclusive partnerships in prime locations ' Quick interviews ' Local per diem offices nationwide Not interested in Travel? To take a look at our local Per Diem opportunities Please Click Here For quick consideration apply here: http://www.cytiva.com/ihire/ext2/applya.asp?ihire?ihireTVi94392?inttravdal?37 MEDICAL STAFFING NETWORK HAS EARNED THE JOINT COMMISSION’S GOLD SEAL OF APPROVAL.TM www.MSNNurse.com