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Are you interested in working as a Registered Nurse within a group home setting? Our client is committed to providing exceptional care and support in group home programs. We are currently seeking compassionate and skilled Registered Nurses (RN's) to join us on a flexible contract basis. This role offers an opportunity to make a meaningful impact on the lives of individuals while enjoying the benefits of a flexible work arrangement. Job Duties & Responsibilities: <ul><li>Develop nursing plans supporting health care needs of the individuals, write nursing reviews and monthly nursing notes.</li><li>Administer medications and treatments as prescribed, keeping meticulous records and monitoring for any side effects or reactions.</li><li>Monitor medical and dental needs, addressing any health issues promptly and coordinating with the healthcare team.</li><li>Collaborate with physicians, therapists, and other professionals to create and implement effective care plans, ensuring seamless coordination of care.</li><li>Act swiftly and effectively in medical emergencies, providing first aid and emergency interventions as needed, and liaising with emergency services when required.</li><li>Educate Individual and staff about health conditions and treatment plans. Support and guide staff on health-related matters.</li><li>Maintain accurate and comprehensive medical records in compliance with regulatory standards and organizational policies.</li><li>Ensure adherence to healthcare regulations, standards, and best practices, maintaining a safe and compliant environment.</li></ul> Skills: <ul><li>Valid RN license and current registration in NY.</li><li>Associate's or Bachelor's degree in Nursing from an accredited institution.</li><li>Experience in group home, long-term care, or similar settings preferred.</li><li>Strong clinical skills, with a focus on assessment, planning, and implementation of nursing care.</li><li>Excellent communication, interpersonal, and organizational skills.</li><li>Current CPR and First Aid certification required.</li><li>Ability to work independently and as part of a team. Flexible schedule to adapt to varying needs and individual requirements.</li></ul> Company Overview We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. Required <ul></ul> Preferred <ul></ul> Job Industries <ul><li> Healthcare </li></ul>

Registered Nurse

Provides high quality nursing care to meet the needs of the patient and manages/coordinates the delivery of multidisciplinary health care services for a caseload of patients. We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. Required <ul></ul> Preferred <ul></ul> Job Industries <ul><li> Education </li></ul>

Job description: We are seeking a dedicated and compassionate Registered Nurse Case Manager to join our Social Service Health Care Team. As a Registered Nurse Case Manager, you will be responsible for providing comprehensive patient care and coordinating services for the people we support. Your expertise in managed care, patient assessment, and medical terminology will be essential in ensuring the well-being of our patients. Key Responsibilities: <ul><li>Provide direct nursing care and clinical oversight for individuals with developmental disabilities in accordance with OPWDD guidelines.</li><li>Administer prescribed medications and treatments, monitor for side effects, and maintain accurate medical records.</li><li>Conduct health assessments and respond to medical emergencies as needed.</li><li>Collaborate with interdisciplinary teams, including DSPs, medical providers, therapists, and family members.</li><li>Develop and update individualized nursing care plans and contribute to person-centered service planning (ISP).</li><li>Educate staff on health-related issues, proper medication administration, infection control, and other medical protocols.</li><li>Administers medications when appropriate, and supervises AMAP certified staff in medication administration. Supervises all medication prescribed for individuals in accordance with agency policies.</li><li>Provides supervision and training for Licensed Practical Nurses and/or less experienced.</li><li>Provides immediate first aid with referral to outside emergency services or private physician.</li></ul> Experience: <ul><li>Minimum of 1 years of experience as a Registered Nurse in a clinical setting</li><li>Experience in managed care or case management is highly preferred</li><li>Strong knowledge of medical terminology, physiology, and medical records management</li><li>Ability to assess patient needs and develop comprehensive care plans</li><li> Experience working with diverse patient populations, including pediatrics and behavioral health </li><li>Familiarity with emergency room protocols and procedures</li></ul> We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. Required <ul></ul> Preferred <ul></ul> Job Industries <ul><li> Healthcare </li></ul>

Nurse Case Manager

Are you interested in working as a school nurse with students in public, private, parochial, elementary, and high schools? We have openings at schools in all 5 boroughs. We're seeking full time, part-time and per diem employees. These positions cover any acute care needs in the school (including the three "B's' of school nursing - bumps, bruises and bellyaches) and are community oriented including providing health information to students, teachers, principals and parents. We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. Required <ul></ul> Preferred <ul></ul> Job Industries <ul><li> Education </li></ul>

Registered School Nurse

Fidelis Care - New York

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 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 
 
 
 Work Location
 
 
 
 This is a remote position but candidates must hold active New York State licensure to be considered.
 
 
 
 Licensure Requirements
 
 
 
 Candidates must hold active New York State licensure to be considered.
 
 
 
 Registered Nurses located in the Buffalo, NY area are strongly preferred.
 
 
 
 
 Schedule
 
 
 
 This role follows a
 
 Monday&ndash;Friday, 830 AM&ndash;500 PM
 
 schedule with a one-hour assigned lunch break.
 
 
 
 Position Purpose
 
 Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
 
 
 <ul>
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 Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
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 Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care
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 Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member
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 Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
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 Assists with service authorization requests for a member&rsquo;s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
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 Collects, documents, and maintains all member&rsquo;s clinical information in health management systems to ensure compliance with regulatory guidelines
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 Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members
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 Provides feedback on opportunities to improve the authorization review process for members
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 Performs other duties as assigned
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 Complies with all policies and standards
 
 
 </li>
 </ul>
 
 Education/Experience
 
 Requires Graduate from an Accredited School of Nursing or Bachelor&rsquo;s degree in Nursing and 2 &ndash; 4 years of related experience.
 
 
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 Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.
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 Knowledge of Medicare and Medicaid regulations preferred.
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 Knowledge of utilization management processes preferred.
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 NY RN license preferred.
 
 
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 </ul>
 
 License/Certification
 
 
 
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 LPN - Licensed Practical Nurse - State Licensure required
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 For Health Net of California RN license required
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 For Superior Health Plan RN license required
 
 
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 </ul>
 Pay Range $27.02 - $48.55 per hour
 
 
 Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
 
 
 Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
</div>

Clinical Review Nurse - Prior Authorization

Explore 30+ Registered nurses in New York this January. Find roles across top companies and apply now to boost your career.

30 registered nurses jobs IN New York

Registered Nurse

Registered Nurse

Nurse Case Manager

Registered Nurse

Registered School Nurse

Registered School Nurse

Clinical Review Nurse - Prior Authorization