Part Time RN Liaison IV Educator - Eddy Visiting Nurse and Rehab Association
Utilization review nurse job in Troy, NY
*Employment Type:* Part time *Shift:* Day Shift *Description:* RN Liaison IV Educator Eddy Visiting Nurse & Rehab Association has a unique opportunity at Eddy for an RN that is looking for a weekend position! Looking for dynamic nurse who is able to multitask and work in the SPHP Hospitals doing IV teaches to patients with new infusions to prepare them for discharge and homecare services. The nurse in this position will work closely with the case manager at hospitals to determine and assist with the decision if homecare is the right place for continued services. Additional duties include helping with referrals processing. IV experience preferred but not required!
Travel will be minimal, but some travel between hospitals will be necessary. This position has two scheduling options:
* 12 hour shifts every Saturday & Sunday - qualifying for Full-Time benefits and paid at an elevated Weekend Track rate of $52.30 hourly
* Three 8 hour shifts Friday/Saturday/Sunday OR Saturday/Sunday/Monday - qualifying for Part-Time benefits with an experience based rate
Requirements:
* 1-2 years RN acute care experience required.
* Valid NYS RN Licensure.
Apply today for more information!
Pay Range:$35.00 - $47.75
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
*Our Commitment *
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. 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 any other status protected by federal, state, or local law.
Labor and Delivery - LD RN - Travel Nurse
Utilization review nurse job in Albany, NY
We're looking for Labor and Delivery RNs for an immediate travel nurse opening in Albany, NY. The right RN should have 3 years' recent acute care experience. Read below for more requirements. L&D Travel Nurses provide care and support for women before, during and after delivery of a baby. L&D RNs must ensure that the medical as well as emotional needs of their patients are met at all times throughout the birthing process. As an L&D RN, you'll be responsible for assisting physicians when epidurals or pain medications are administered, episiotomies are performed, or when the patient requires preparation for a cesarean delivery.
As an L&D Travel Nurse, you should be prepared to perform the following tasks:
Stay with and monitor patient throughout labor.
Monitor contractions and help patients with breathing techniques.
Check cervix periodically to monitor progression/lack of dilation.
Ensure beds are kept clean and dry; clean up bodily fluids expelled before and after birthing process.
Aid physician with drapes, gloves, gowns, delivery instruments, etc.
Immediate care of newborn.
L&D Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, L&D RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.
Requirements*: ACLS, BLS, NRP, FHM, AWHONN, 3 Years
* Additional certifications may be required before beginning an assignment.
Traveling Clinical Restoration Nurse (RN)
Utilization review nurse job in Albany, NY
Centers Health Care is looking to hire a Traveling Clinical Restoration Nurse (RN) who will support our nursing homes across upstate NY.
Extensive overnight travel is required!
RN license along with prior experience in a long-term care environment is required!
DUTIES:
Perform functions as delineated under the scope of practice as a Registered Nurse (RN)
Conduct clinical audits as directed, correct findings as applicable
Identifies areas of clinical improvement, develop systemic restoration to correct identified areas
Maintain focus on quality improvement
Report findings to the facility Director of Nursing, Facility Administrator, Clinical Restoration Team Leader or designee
REQUIREMENTS:
3+ years of work experience as an RN in a skilled nursing environment
Prior nursing management experience is a plus
Knowledge of Point Click Care Electronical
Active RN license in good standing
Excellent attention to detail; ability to function independently with minimal oversight
Strong level of accountability
Extensive Travel including overnight stays is required
Utilization Review Coordinator
Utilization review nurse job in Glenville, NY
Full-time Description
Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in Glenville, NY. This is an On Site position. In this role, you will provide utilization review monitoring of medical records as well as treatment planning and delivery process, comparing against managed care, ASAM, and NYS criteria.
Requirements
2 Year/Associate's Degree preferred
Appropriately licensed RN, LPN, CASAC, LMHC or LMSW
1 year experience in Case Management, Utilization Management, or Chemical Dependency
We offer competitive wages, benefits, and a pension plan in a supportive working environment.
Background checks, pre-employment & drug screenings required
We are an equal opportunity employer according to current standards
INDHP
Salary Description $25.20 - $33.27
Incident Review Coordinator
Utilization review nurse job in Schenectady, NY
Incident Review Coordinator
FLSA: Non-Exempt
Reports To: Corporate Compliance Officer
Physical Requirements: Normal Office Environment
Hours of Work: Full Time, 37.5 hours/wk. Other hours as needed.
Pay Range: The pay range is $27.95 to $38.03
Job Summary:
Complete investigations of reported incidents and accidents, which often involves sensitive matters, throughout the agency in a confidential, fair, consistent and thorough manner. Ensure thorough and accurate completion of written incident investigation reports in a timely manner. Develop plans for preventing and managing incidents, recommend agency responses and interface with regulators and law enforcement.
Job Qualifications:
High School Diploma/GED is required.
Associates/Bachelor's Degree in a related field is preferred.
3 years' experience at the managerial level in either residential or day support services or in an investigation field is required.
Excellent administrative skills and knowledge of regulations and investigation techniques.
Ability to support our internal customers by analyzing data to identify patterns and trends, best practices and aid in operationalizing this information.
Proficient in the use of Microsoft Office (Word, Excel, Outlook, PowerPoint)
Strong writing, communication and analytical skills.
Must be able to read, write and speak the English language.
Valid NYS Driver's License that meets agency standards and reliable transportation.
Major Responsibilities:
Perform all duties necessary to fully conduct and document investigations of incidents occurring within the agency while maintaining compliance with agency policy and regulatory bodies (OPWDD, Justice Center).
Organize and manage investigations caseload. Effectively coordinate incident and investigation activities with OPWDD Compliance Officers, OPWDD Incident Management staff and the Justice Center.
File, monitor and close all cases to OPWDD and the Justice Center.
File required corrective action plans (CAPs) with state regulatory agencies.
Work cooperatively with department staff in a team environment as well as the relevant regulatory agencies.
Present cases to Operations, Human Resources, Supervisor, and Special Review Committee as required.
Maintain a consistent, high quality, professional, service recipient focused orientation when conducting business.
Maintain an impartial and professional attitude while conducting investigations, interacting with staff and management, and presenting cases.
Maintain the Incident Tracking Spreadsheet.
Maintain knowledge of current regulations and operations of regulatory agency to recommend changes in investigative process and developments in the field by reading appropriate books, journals, and other literature and attending related seminars, conferences as offered by the state, NYSARC and other community partners. Applies pertinent new knowledge to the job.
Serve as a key support in regulatory interpretation with agency staff and leadership.
Participate in agency committees as assigned.
Assist the Corporate Compliance Officer with other projects as assigned.
Disclaimer - The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Liberty reserves the right at its sole discretion to amend its policies, programs and/or guidelines, including the contents of this job description, at any time without prior notice. A candidate's rate of pay is based upon a consideration of several factors which may vary based upon the position. These factors may include education, prior work experience, licenses, certifications and labor markets. In addition to your pay, Liberty cares about you and invests in you as a team member, so that you can take care of yourself and your family. Liberty offers eligible team members and their dependents comprehensive health benefits and programs, which may include, medical, dental, vision, life insurance, 401k and more, to help you and your family take care of your whole selves.
Job Posted by ApplicantPro
Clinical Reviewer, Nurse
Utilization review nurse job in Albany, NY
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
Job Description
As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes.
**Collaboration Opportunities:**
As a Clinical Reviewer, Nurse, you will routinely interact with leadership and management staff, other CR's (Clinical Reviewers), providers, office staff and Field Medical Directors (FMDs).
**What You Will Be Doing:**
+ Functions in a clinical review capacity to evaluate all cases, which do not pass the authorization approval process at first call while promoting a supportive team approach with call center staff. Clinical reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process.
+ Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria.
+ Conducts ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff.
+ Converses with medical office staff to obtain additional pertinent clinical history/information; notifies of approvals and denials, giving clinical rationale, while providing optimum customer service through professional/accurate communication and maintaining NCQA and health plans required timeframes.
+ Documents all communication with medical office staff and/or treating provider.
+ Practices and maintains the principles of utilization management by adhering to policies and procedures.
+ Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations, as well as, being audited to ensure guidelines are applied appropriately.
**Qualifications Required and Preferred:**
+ Current, unrestricted state licensure as a Registered Nurse- **Required**
+ Associate or Bachelors in Nursing (Must be a Registered Nurse) - **Required**
+ You must be able to work a minimum of 30 hours/week- **Required**
+ Strong interpersonal and communication skills - **Required**
+ Proficient computer skills; must be able to talk and type simultaneously- **Required**
+ 5+ years clinical experience- **Preferred**
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.**
The expected base salary/wage range for this position is $34-$37/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Utilization Management Nurse
Utilization review nurse job in Albany, NY
**Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others.
**Use your skills to make an impact**
**Required Qualifications**
+ Active unrestricted RN license with the ability to obtain Compact Nursing License
+ A minimum of three years clinical RN experience;
+ Prior clinical experience, managed care experience, **OR** utilization management experience
+ Demonstrates Emotional Maturity
+ Ability to work independently and within a team setting
+ Willing to work in multiple time zones
+ Strong written and verbal communication skills
+ Attention to detail, strong computer skills including Microsoft office products
+ Ability to work in fast paced environment
+ Ability to form positive working relationships with all internal and external customers
**Preferred Qualifications**
+ Education: BSN or bachelor's degree in a related field
+ Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures
+ Previous experience in utilization management within Insurance industry
+ Previous Medicare Advantage/Medicare
+ Current nursing experience in Hospital, SNF, LTAC, DME or Home Health.
+ Bilingual
**Alert**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**Interview Format - HireVue**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**Work-At-Home Requirements**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**Benefits**
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-25-2025
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
Easy ApplyUtilization Review Nurse
Utilization review nurse job in New Scotland, NY
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Salary Range:
$71,612.39 - $110,999.20Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients.
• Completes Utilization Management and Quality Screening for assigned patients.
• Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations using approved screening tool and follows established reporting procedures.
• Monitors LOS and ancillary resource use on an ongoing basis. Takes actions to achieve continuous improvement in both areas.
• Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up as indicated.
• Communicates covered day reimbursement certification for assigned patients.
• Discusses payor criteria and issues and a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
• Uses quality screens to identify potential issues and forwards information to the Quality Department.
• Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.
• Facilitates removal of delays and documents delays when they exist. Reports internal and external delays to the Triad Team.
• Collaborates with the health care team and appropriate department in the management of care across the continuum of care by assuring communication with Triad Team and health care team.
Minimum Qualifications:
• Registered nurse with a New York State current license.
• Bachelor's degree preferred.
• Minimum of three years clinical experience in an assigned service.
• Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred. PRI and
• Case Management certification preferred.
• Assertive and creative in problem solving, critical thinking skills, systems planning and patient care management.
• Self-directed with the ability to adapt in a changing environment.
• Basic knowledge of computer systems with skills applicable to utilization review process.
• Excellent written and verbal communication skills.
• Working knowledge of MCG criteria and ability to implement and utilize.
• Understanding of Inpatient versus Outpatient surgery and ICD10-Coding (preferred) and Observation status qualifications.
• Ability to work independently and demonstrate organizational and time management skills.
• Strong analytic, data management and PC skills.
• Working knowledge of Medicare regulatory requirements, Managed Care Plans
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyNurse Coordinator, Local 4053
Utilization review nurse job in Albany, NY
NYS Public Employees Federation Nurse Coordinator Albany, NY or New York City The NYS Public Employees Federation (PEF) is a diverse and powerful New York State labor unioncommitted to creating a better life for our members. We represent over 55,000 professional, scientific, and technical workers in NYS government. Members include healthcare, education, corrections and supervision, youth services, direct care, and other professional titles.
Position Summary:
Under the direction of the Statewide Field Services Director, the Nurse Coordinator will be responsible for aiding internal membership campaigns intended to empower PEF nurses and HCPs to work together to ensure that their professional goals can be realized. Responsible for identifying, investigating, recommending, and implementing a course of action intended to resolve the workplace matters of great concern to PEF's nurses and HCPs. Serves as the lead for the Protest of Assignment database. The plan will include a Labor/Management, Legislative, Contract, Legal and Educational component working with the field reps assigned to the facility. Lead in the development of the communication network between HCPs and nurse members, field staff, any applicable departments within PEF to insure and enhance the internal flow and exchange of information. Keep appropriate staff informed of hot topics in a timely manner.
The position is a mix of travel across New York State and office-based work (office location is based in Albany, NY or New York City).
Job Responsibilities:
* Reads all Protest of assignment submissions and forwards to the appropriate council leader and field representative. Calling said resources when issue is time sensitive.
* Assists the Statewide Nurses Committee with the development and implementation of short-and long-term goals.
* Acts as liaison between the Nurses Committee and Article 44 committee with the departments and resources of PEF.
* Assists the Statewide Nursing committee with Convention activities such as nurses' luncheon and the nurse's booth.
* Assists the Statewide Nursing committee with education and lobby day.
* Attend statewide labor management meetings for facilities who employ Nurse and HCPs.
* Tracks proposed nursing and healthcare related Federal and State Legislation and changes in rules, regulations and agency policy and analyzes for their impact on nursing membership.
* Provides organizational development assistance to nurse and HCP members in conjunction with elected leaders, field, and organizing staff as needed.
* Supports efforts to address specific organizational issues affecting nurses and HCPs in collaboration with field staff.
* Provide organizational assistance to Divisions with a high level of turmoil amongst their nurses and or HCPs. in conjunction with the Regional Coordinator.
* Initiates and improves information exchange between nurses/HCPs and PEF.
* Acts as an informational resource to non-Division "pockets" of PEF members.
* Assists in the development of local, regional, and statewide L/M nurses and HCPs committees.
* Assists in the dissemination of technical and policy decisions made by the Administration.
* Attend staff and Executive Board meetings.
* Files reports and memos, as requested.
* Keeps him or herself informed on the general policies and purposes of PEF and informed on the general developments in the field of public employee labor relations with particular emphasis on laws, decisions, and developments affecting nurses and HCPs.
* Acts as a resource person for stewards, Executive Board members and officers concerning nurse and HCPs issues.
* Communicates, publicizes, and encourages the purposes, policies, and goals of PEF in person or via zoom meetings.
* Keeps the Director informed of all worksite issues in assigned responsibilities in a timely manner.
* Attends training programs, workshops, and seminars as required.
* Perform assignments on an "as needed" basis to specific sites or situations during crisis periods at the direction of the Director or Assistant Director.
* Other duties as assigned.
* Consistent and reliable attendance.
Qualifications:
* Must be a Registered Nurse (licensed through NY State).
* Experience as a union official and/or staff representative who is skilled in grievance handling, organizing, Taylor Law procedures, and the negotiations process.
* Ability and willingness to work flexible hours and travel to worksites across the state and stay overnight when the need arises.
* A driver's license and access to a vehicle is required.
Successful candidate must demonstrate:
* Strong interpersonal skills and ability to effectively communicate (both written and verbal) with staff, union members, our executive team, and elected union officials.
* Proficient in public speaking/presenting in small and large groups.
* Strong computer skills (Microsoft Office Suite: Outlook, Word, Excel, and PowerPoint).
* Ability to work independently and collaborate with various team members.
* Strong organizational skills including time management and attention to detail.
Salary and Benefits:
Salary Range - Albany: $70,391.00 (minimum) - $100,912.00 (maximum).
Salary Range - NYC: $75,748.00 (minimum) - $106,269.00 (maximum).
* The salary listed above includes the downstate adjustment for NYC *
In addition, a transportation allowance is provided for this position: $290/bi-weekly (Albany) or $306/bi-
weekly (NYC).
* Under a collective bargaining agreement, PEF offers excellent benefits, such as:
* Health insurance with Health Reimbursement (HRA)
* Employer paid dental and vision insurance Flexible Spending Plan (FSA)
* Employer paid life and long-term disability insurance
* 401-k with safe harbor contribution
* Pension plan through SEIU
* Paid holidays, vacation, sick, and personal time
* Tuition reimbursement and on-going professional development
Interested individuals are invited to submit their resume to **********.
Easy ApplyRN Liaison - Eddy Visiting Nurse and Rehab Association
Utilization review nurse job in Troy, NY
Employment Type:Full time Shift:Day ShiftDescription:
RN Liaison - Ellis Hospital
Eddy VNRA has a unique opportunity to work Full Time as part of our RN Liaison Team within Ellis Hospital!
Monday-Friday 8am-4:30p
this is for you!
Primary responsibilities include:
Communicating with the hospital case managers, Rehab and hospital services, community physicians, and various resource agencies
Coordinating services for patients discharging home from an acute care setting
Contacting physician offices, obtaining various services/orders (ie: DME, infusion) as needed for the homecare clinicians and ensuring referral information/orders are complete
Documenting patient information into our EMR
Working with various departments to coordinate a smooth transition to home
Requirements:
NYS Registered Nurse license
Associates in Nursing, BSN preferred
1 year of RN experience
Key skills required:
Strong interpersonal skills
Excellent computer skills
Ability to multitask multiple patient referrals
Organization
Team player
Strong time management and clinical skills
Eddy VNRA provides a comprehensive orientation and supportive work environment. Apply today for more information!
Pay Range: $35.00 - $47.75 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. 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 any other status protected by federal, state, or local law.
Auto-ApplyTriage Registered Nurse (Req 100989)
Utilization review nurse job in Albany, NY
Be a part of the mission at Whitney Young Health (WYH) to provide high quality healthcare that is affordable and accessible to our diverse community. WYH has a robust benefits package including generous time off, affordable health, dental and vision insurance, 401k with safe harbor employer match, tuition reimbursement, term life insurance and more. Plus, RNs are eligible for loan repayment through the Nurse Corp Loan Repayment program!
GENERAL RESPONSIBILITIES:
While demonstrating excellent customer service, The Triage Registered Nurse (RN) at Whitney Young Health utilizes the nursing process to provide comprehensive professional nursing care, considering the individual patient's physical, psychosocial and age-related needs. In a collaborative effort with provider, clinical, practice associate and customer service staff, acts as central figure for triage of walk-in patients, while emphasizing Health Center mission of quality care and access to care. The Triage Registered Nurse contributes to an environment where professional practice is actualized, and patient outcomes are measured. The Triage RN also assists the Nursing Supervisor to maintain efficient, effective means of patient flow within the medical department. This role ensures optimum, safe environment, and ensures compliance with local, state, and federal regulations (i.e. OSHA, and NYSDOH) within the Medical Department.
SPECIFIC RESPONSIBILITIES:
Age Specific Criteria
* Demonstrates knowledge, skills, and abilities to provide care to the age groups served (birth and above).
* Knowledge of normal growth and development.
* Ability to interpret age specific responses to treatment.
* Knowledge of age specific safety precautions.
* Knowledge of age specific medication dosages and side effects.
* Ability to communicate in an age-appropriate manner.
* Ability to provide age specific data to other caregivers.
* Knowledge of age specific anticipatory guidance.
Direct Clinical Responsibilities
* Performs clinical triage, including a comprehensive assessment, disposition, and education using established triage protocols and guidelines.
* Provides safe & effective care for patient/colleague/self.
* Utilizes nursing assessment skills, incorporates patient/family history, diagnostic and physical assessment to appropriately perform patient triage.
* Consistently follows established protocols and clinical guidelines in providing patient care including infection control, medication, and patient safety guidelines.
* Reviews provider schedules daily to determine appointment availability.
* In collaboration with provider, clinical, practice associate and customer service staff, schedules patients according to triage assessment and provider availability.
* The triage team is responsible for managing and caring for patients on the nurse visit schedule.
* Analyzes relevant patient data-history, diagnosis, and lab results.
* Integrate assessment results in care, planning, goals, and outcomes.
* Employs critical thinking skills to achieve outcomes and solve problems.
* Incorporates teaching in delivery of care to promote health and prevent disease.
* Recognizes and communicates changes in patient condition to providers in a timely manner.
* Manages transitions of care to ensure appropriate follow-up care and mitigate risks associated with readmission.
* Synthesizes inpatient data from all care services provided to patients to prepare for a transition of care appointment
* Collaborates with patient care team to identify patients discharged from emergency department to ensure appropriate follow-up.
* Uses data to identify gaps in services and initiates intervention.
* Refers patients to a variety of resources, including behavioral health, chronic care management, transportation services, nutrition, etc.
* Assesses and provides basic to complex patient education and counseling on the performance of tasks, skills, treatment and self-care integrating health promotion and preventive aspects of care.
* Refers questions to physician/provider and relays information back to patient as directed.
* Provides patient care based on evidence-based practice guidelines, standards of care, and federal/state laws and regulations.
* Documents patient assessment and intervention data using established medical record forms/automated systems.
* Participates in multidisciplinary teams to improve patient care processes and outcomes.
* Interacts with patients, staff, colleagues, and team members in a professional manner.
Patient Emergencies
* Responds to all "Triage Nurse Calls, Physician Stat, and any Emergent overhead pages.
* Accompanies Provider to code location while other nurses obtain the emergency equipment and oxygen.
* Obtains patient vital signs, circumstances pertaining to current condition, past medical history, drug allergies, and current medications that the patient is taking and will relay this information to the Provider.
* Provides patient care with other nurses, assisting as necessary.
* Administers medications according to critical elements.
* Recognize, communicate, document normal and abnormal findings.
* Communication with others is accurate, considerate, & timely
* Interacts effectively with patients & team members that are culturally sensitive and appropriate to age.
* Language barriers and sensory and cognitive deficits are accommodated.
* If the responding provider determines that paramedics need to be called, the Triage Nurse or designee will dial 911 and give pertinent information to the dispatcher.
* If paramedics are called, asks one of the responding nurses to ensure that emergency personnel are directed to the area.
* Assists provider, as requested, to communicate pertinent patient information (oral and written) to the paramedic team for patient transfer to the hospital.
* Ensures that emergency equipment and supplies are restocked as needed.
* Ensures that Emergency Equipment on the code cart is available in the triage area and ready for safe use at all times (i.e. medications are not outdated, emergency logs are checked and dated weekly, AED is checked weekly AED pads monthly, equipment is secured with Lock tags, oxygen tanks are maintained and full at all times for emergencies).
* Documents all patient care and related communications in the Medical Record in a timely manner (see policy/procedure MD-16).
* Initiates documentation when a walk-in triage patient is being seen the same day.
* Maintains accurate and timely telephone and written correspondence.
Telephonic Consultation
* Assists appointment staff with requests for same day appointments.
* Receives calls regarding critical issues (e.g., patient with chest pain, critical test results, and urgent calls from Emergency Departments), and activates immediate and appropriate follow-up.
Performance Improvement
* Participates in interdepartmental/departmental Performance Improvement projects.
* Assists the Nursing Supervisor in identifying opportunities for improvement.
* Assists with collection of data for performance improvement activities.
Customer Service
* Keeps patients informed about delays.
* Assist patients in identifying alternative care options when needed.
* Demonstrate excellence in both internal and external customer service.
Other
* Demonstrated ability to effectively make critical, independent decisions.
* Excellent organization, prioritization and problem-solving skills.
* Demonstrated leadership skills including delegation, organization, prioritization and building team rapport.
* Proficient computer skills including keyboarding, navigation within a windows operating system, use of electronic mail and electronic medical records systems.
* Assists and collaborates with Care Management team to update care plans, as directed by the Director of Nursing.
* Consistently completes assignments in a timely manner with minimal assistance or overtime.
* Seeks and accepts additional assignments.
* Maintains responsibility for attendance and punctuality.
* Assists with staff orientation and ongoing education as a clinical resource for staff.
* Demonstrates excellence in both internal and external customer service.
* Understands and effectively communicates HIPAA compliance, corporate compliance, and client confidentiality.
* Ensures and/or remains in compliance with local, state, and federal regulations, i.e., OASAS, NYS DOH.
* Adheres to the National Patient Safety Goals as defined by the Joint Commission and the Whitney M. Young Jr. Health Services.
* Completes other duties as assigned.
Requirements
MINIMUM QUALIFICATIONS:
Graduate from an accredited school for Registered Professional Nurses; Current registration as a licensed Registered Professional Nurse in New York State; Current CPR certification; one to three years relevant clinical nursing experience; Knowledge of managed care requirements; Demonstrated excellence in written and verbal communication; B.L.S. Certification.
PREFERRED QUALIFICATIONS:
Experience in Triage, Emergency Department, and/or Urgent care setting; Demonstrated competence in multi-cultural medical setting; Bilingual skills; Bachelor's Degree in Nursing.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.
Salary range: $73,000 - $83,200 annually
Travel Labor and Delivery Nurse - $2,585 per week
Utilization review nurse job in Great Barrington, MA
Premier Medical Staffing Services is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Great Barrington, Massachusetts.
Job Description & Requirements
Specialty: Labor and Delivery
Discipline: RN
Start Date: 12/29/2025
Duration: 13 weeks
36 hours per week
Shift: 12 hours
Employment Type: Travel
Premier Medical Staffing Job ID #608360. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN
About Premier Medical Staffing Services
Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.
Field Nurse / Coordinator of Care / Weekends / Manhattan
Utilization review nurse job in Middleburgh, NY
Weekend / Field RN / Coordinator of Care Salary: $105,000 - $110,000, plusa $15,000 sign-on bonus. We also have roles open Queens and the Bronx Friday, Saturday and Sunday - 13hr shifts
Weekend Field RN Role Overview
The Field RN/Coordinator of Care is a vital member of the home care team, managing all aspects of patient care. This full-time, permanent position follows a Monday through Friday schedule, offering stability and flexibility. Responsibilities include conducting home visits, developing and implementing care plans, coordinating with interdisciplinary teams, and ensuring accurate and timely documentation.
Weekend Field RN Key Responsibilities
Perform home care assessments to determine eligibility and develop care plans.
Provide skilled nursing care, including wound care, medication management, and disease education.
Coordinate and communicate with patients, families, physicians, and interdisciplinary teams.
Complete documentation in HCHB clinical software within required timeframes.
Supervise and orient home health aide personnel as needed.
Identify needs for additional services (e.g., PT, OT, MSW, speech therapy) and coordinate accordingly.
Monitor patient progress, adjust care plans as needed, and participate in case conferencing.
Ensure compliance with infection control standards and agency protocols.
Weekend Field RN Requirements
Registered Nurse (RN) licensed in New York State.
Minimum of 6 months clinical, hospital experience.
Vehicle required for most territories.
Familiarity with EMR systems; experience with HCHB is a plus.
Current physical examination.
Weekend Field RN Benefits:
$40,000 total tuition reimbursement, $10,000 yearly.
Excellent health benefits.
4 weeks vacation, 8 sick days, and additional holidays.
Why Join?
Full-time, permanent role with a Monday through Friday schedule.
Work with one of NYC's largest and most respected home care agencies.
Family-oriented culture with stable leadership and a supportive team.
Flexible schedules and opportunities for professional growth.
If you're a compassionate and skilled RN ready to make a difference, apply today to join our dedicated team!
#ACP
#AC1
New Graduate Nurse
Utilization review nurse job in Albany, NY
PURPOSE AND SCOPE:
Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
STAFF RELATED:
Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
Assesses daily patient care needs and develops appropriate patient care assignments.
Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
Participates in staff training and orientation of new staff as assigned
Participates in all required staff meetings as scheduled.
PATIENT RELATED:
Education:
Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
Discusses with patient, and records education related to diet/fluid and medication compliance.
Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
Ensures transplant awareness, modality awareness, and drive catheter reduction.
Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
Dialysis Treatment:
Provides safe and effective delivery of care to patients with ESRD.
Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
Identifies and communicates patient related issues to Team Leader or physician.
Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
Laboratory-related:
Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
Ensures that all labs are directed and delivered to appropriate labs.
Reports alert/panic and abnormal labs results to appropriate physician.
Ensures lab results are forwarded to physicians as requested.
General duties:
Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
Maintains overall shift operation in a safe, efficient, and effective manner.
Act as a resource for other staff members.
Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
Oversees all documentation of patient information.
Maintains facility drug list for all required stock medications.
Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
Ensures verification and availability of adequate emergency equipment.
Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
Maintains appropriate recording of controlled substances as required by law.
Assists with the coordination of patient transportation if necessary.
MAINTENANCE/TECHNICAL:
Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
Ensures competency in the operation of all dialysis-related equipment safely and effectively.
Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
MEDICAL RECORDS & DOCUMENTATION:
General
Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
Ensures all appropriate patient related treatment data is entered into the Medical Information System.
Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
Ensures and verify accuracy of Patient Care Technician documentation.
Daily
Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
Monthly
Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
Completes monthly nurses' progress note.
Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
Reviews transplant status and follows established procedure regarding appropriate action to be taken.
Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
Completes any long-term programs that are due. Annually
Completes initial and annual Nursing History and Assessment physical.
Ensures completion of Annual Standing Order Review with each physician as required.
OTHER:
As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.
Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
Maintain regular and punctual attendance.
Perform other related duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
SUPERVISION:
None
EDUCATION:
Graduate of an accredited School of Nursing.
Current appropriate state Temporary Permit.
Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
0 - 1 year's related experience.
ACKNOWLEDGEMENT:
I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29 - $48
ADDENDUM:
Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: *********************************************************************************************************************************************************** For additional information please contact your Regional Education Coordinator.
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
Auto-ApplyTelephone Triage RN
Utilization review nurse job in Saratoga Springs, NY
# Telephone Triage RN Salary Range: $33.65-$54.37/hr based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we#ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach#creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people. About the Role We#re looking for a dedicated Telephone Triage RN to join our team and help us continue delivering the level of care our patients and families deserve. In this role, the Telephone Triage Registered Nurse will work within the Patient Engagement Center to assist the Pre-Service Specialists and Referral-Authorization Specialists with patient clinical questions and triaging patient calls accordingly.# Each caller will be handled in a professional and tactful manner. They will work collaboratively with Patient Engagement Center staff and Practice Nursing Leadership to ensure patient requests and inquiries are managed timely and patient triage is complete expeditiously.# The caller#s symptoms will be assessed and triaged using the nursing process and approved guidelines to assist in obtaining the appropriate level of care and/or self-care advice. Calls will be documented in a standardized manner. In addition to completing telephone triage of patients and answering of clinical questions via phone, this position will use their clinical expertise to complete tasks such as (and not limited to): Review medication electronic prior authorizations and other prior authorizations. Review/answer portal messages from patients Other non-telephonic clinical duties as determined by supervisor.# What You#ll Do Respond promptly to each incoming call. If a call warrants triage, the caller#s symptoms will be assessed to determine appropriate level of care (Emergent, Urgent, Non-Urgent, Self-Care) and referred to the appropriate medical facility or provider for care, utilizing approved guidelines on a patient basis. Utilize available resources and guidelines to prioritize scheduling of patient and referral to the appropriate medical facility. Appointments will be scheduled by the Telephone Triage RN with the caller and appropriate details will be shared. Pertinent demographic information will be collected and documented within the EMR for the appointment. Provide appropriate instructions to patient/caller including home care instructions, written guidelines sent via portal or mail, or other references. Complete standard documentation of each patient call utilizing the EMR in compliance with approved policies and procedures. Is an advocate for patient/caregiver within the health care system and across the continuum. Assists as liaison with other departments to facilitate improved coordination of care. Applies advanced critical thinking and conflict resolution skills #### Participate in new employee orientation, ongoing in-service programs, staff meetings, continuous quality improvement, and other organizational and department goals. Has knowledge of community resources, linkages, and sources referral. # What You Bring Registered Nurse Required, BSN preferred 3-5 years working in physician practice setting preferred Experience working with electronic health records, EPIC preferred Strong communication and conflict resolution skills # Why Saratoga Hospital A caring, community-focused culture rooted in teamwork and trust Supportive leadership that invests in your development and well-being Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide. Opportunities to grow within the Albany Med Health System Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions # Our Commitment We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you#re passionate about healthcare and community service#even if you don#t meet every qualification listed#we#d still love to hear from you. How to Apply Click the #apply# button to submit your resume and complete our online application. Applications are reviewed on a rolling basis#apply today and discover what makes Saratoga Hospital a special place to grow your career.
Telephone Triage RN
Salary Range: $33.65-$54.37/hr based on experience and qualifications
About Saratoga Hospital
At Saratoga Hospital, we've built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach-creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.
About the Role
We're looking for a dedicated Telephone Triage RN to join our team and help us continue delivering the level of care our patients and families deserve. In this role, the Telephone Triage Registered Nurse will work within the Patient Engagement Center to assist the Pre-Service Specialists and Referral-Authorization Specialists with patient clinical questions and triaging patient calls accordingly. Each caller will be handled in a professional and tactful manner. They will work collaboratively with Patient Engagement Center staff and Practice Nursing Leadership to ensure patient requests and inquiries are managed timely and patient triage is complete expeditiously. The caller's symptoms will be assessed and triaged using the nursing process and approved guidelines to assist in obtaining the appropriate level of care and/or self-care advice. Calls will be documented in a standardized manner.
In addition to completing telephone triage of patients and answering of clinical questions via phone, this position will use their clinical expertise to complete tasks such as (and not limited to):
* Review medication electronic prior authorizations and other prior authorizations.
* Review/answer portal messages from patients
* Other non-telephonic clinical duties as determined by supervisor.
What You'll Do
* Respond promptly to each incoming call. If a call warrants triage, the caller's symptoms will be assessed to determine appropriate level of care (Emergent, Urgent, Non-Urgent, Self-Care) and referred to the appropriate medical facility or provider for care, utilizing approved guidelines on a patient basis.
* Utilize available resources and guidelines to prioritize scheduling of patient and referral to the appropriate medical facility. Appointments will be scheduled by the Telephone Triage RN with the caller and appropriate details will be shared. Pertinent demographic information will be collected and documented within the EMR for the appointment.
* Provide appropriate instructions to patient/caller including home care instructions, written guidelines sent via portal or mail, or other references.
* Complete standard documentation of each patient call utilizing the EMR in compliance with approved policies and procedures.
* Is an advocate for patient/caregiver within the health care system and across the continuum.
* Assists as liaison with other departments to facilitate improved coordination of care.
* Applies advanced critical thinking and conflict resolution skills
* Participate in new employee orientation, ongoing in-service programs, staff meetings, continuous quality improvement, and other organizational and department goals.
* Has knowledge of community resources, linkages, and sources referral.
What You Bring
* Registered Nurse Required, BSN preferred
* 3-5 years working in physician practice setting preferred
* Experience working with electronic health records, EPIC preferred
* Strong communication and conflict resolution skills
Why Saratoga Hospital
* A caring, community-focused culture rooted in teamwork and trust
* Supportive leadership that invests in your development and well-being
* Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide.
* Opportunities to grow within the Albany Med Health System
* Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions
Our Commitment
We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every qualification listed-we'd still love to hear from you.
How to Apply
Click the 'apply' button to submit your resume and complete our online application. Applications are reviewed on a rolling basis-apply today and discover what makes Saratoga Hospital a special place to grow your career.
NP or PA needed in Troy, NY
Utilization review nurse job in Troy, NY
Job Description
NP or PA needed in Troy, NY
Schedule:
Monday - Friday, 8:00 AM - 5:00 PM
About the Role: Join a vibrant, community-focused clinic serving the Lansingburg and greater Troy area. Our providers deliver high-quality, patient-centered care to an underserved population, helping individuals and families achieve better health outcomes. You will provide routine and preventive care, including:
Annual physicals and wellness exams
Sick visits and treatment of minor injuries
Immunizations and diagnostic testing
Preventive health education and lifestyle counseling
You'll also have the opportunity to guide patients through meaningful lifestyle changes-supporting smoking cessation, healthy eating, weight management, and exercise. This role allows you to make a tangible impact in a community that relies on accessible, compassionate care, similar to leading urban health centers in New York State that prioritize underserved populations.
Compensation & Benefits:
Salary range: $100,000 - $140,000 annually
Comprehensive benefits package, including health, dental, and retirement plans
Supportive work environment focused on collaboration and professional growth
This position is perfect for NP/PAs who are passionate about community health, preventive care, and making a real difference in the lives of patients in the Troy/Lansingburg region.
Nursing - Cath Lab
Utilization review nurse job in Troy, NY
Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details.
Ventura MedStaff benefits represent the care and compassion we provide for our clients.
• Health, dental, vision, life, disability benefits and 401k
• Tax free stipends when applicable
• Gym discounts
• Weekly pay
• $750.00 referral bonus
Please apply or contract us at: *********************** or ************
New Graduate Nurse
Utilization review nurse job in Albany, NY
**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner.
**PRINCIPAL DUTIES AND RESPONSIBILITIES:**
**STAFF RELATED:**
+ Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies.
+ Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants.
+ Assesses daily patient care needs and develops appropriate patient care assignments.
+ Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures.
+ Participates in staff training and orientation of new staff as assigned
+ Participates in all required staff meetings as scheduled.
**PATIENT RELATED:**
Education:
+ Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD).
+ Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions.
+ Discusses with patient, and records education related to diet/fluid and medication compliance.
+ Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM).
+ Ensures transplant awareness, modality awareness, and drive catheter reduction.
+ Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid.
Dialysis Treatment:
+ Provides safe and effective delivery of care to patients with ESRD.
+ Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated.
+ Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician.
+ Identifies and communicates patient related issues to Team Leader or physician.
+ Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures.
+ Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures.
+ Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights.
+ Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures.
+ Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.
+ Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet.
Laboratory-related:
+ Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System.
+ Ensures appropriate preparation of lab requisitions for Spectra or alternate lab.
+ Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples.
+ Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures.
+ Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material.
+ Ensures that all labs are directed and delivered to appropriate labs.
+ Reports alert/panic and abnormal labs results to appropriate physician.
+ Ensures lab results are forwarded to physicians as requested.
General duties:
+ Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments.
+ Maintains overall shift operation in a safe, efficient, and effective manner.
+ Act as a resource for other staff members.
+ Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information.
+ Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient.
+ Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies.
+ Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner.
+ Oversees all documentation of patient information.
+ Maintains facility drug list for all required stock medications.
+ Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest.
+ Ensures verification and availability of adequate emergency equipment.
+ Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing.
+ Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated.
+ Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness.
+ Maintains appropriate recording of controlled substances as required by law.
+ Assists with the coordination of patient transportation if necessary.
**MAINTENANCE/TECHNICAL:**
+ Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area.
+ Ensures competency in the operation of all dialysis-related equipment safely and effectively.
+ Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately.
+ Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies.
**MEDICAL RECORDS & DOCUMENTATION:**
General
+ Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System.
+ Ensures all appropriate patient related treatment data is entered into the Medical Information System.
+ Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented.
+ Ensures and verify accuracy of Patient Care Technician documentation.
Daily
+ Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff.
+ Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises.
Monthly
+ Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports.
+ Completes monthly nurses' progress note.
+ Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms).
+ Reviews transplant status and follows established procedure regarding appropriate action to be taken.
+ Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans.
+ Completes any long-term programs that are due. Annually
+ Completes initial and annual Nursing History and Assessment physical.
+ Ensures completion of Annual Standing Order Review with each physician as required.
**OTHER:**
+ As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.
+ Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
+ Maintain regular and punctual attendance.
+ Perform other related duties as assigned.
**_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._**
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
**SUPERVISION:**
+ None
**EDUCATION** **:**
+ Graduate of an accredited School of Nursing.
+ Current appropriate state Temporary Permit.
+ Must meet the practice requirements in the state in which he or she is employed.
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ 0 - 1 year's related experience.
**ACKNOWLEDGEMENT:**
I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29 - $48
**ADDENDUM:**
Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: ********************************************************************************************************************************************************** . For additional information please contact your Regional Education Coordinator.
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Travel Nurse (RN) - ER (Emergency Room)
Utilization review nurse job in Albany, NY
Travel Nurse - ER
Epic Travel Staffing is hiring a Travel Nurse - ER. We`ll be your ticket to the travel RN - Emergency Room job you`ll love with unparalleled recruiter support and industry-best benefits.
Shift: Nights
Length: 13
Start Date: 12/29/2025
Profession: Nurse (RN) - ER (Emergency Room)
The Difference at Epic Travel Staffing:
Day 1 health insurance coverage and comprehensive benefits options
401(k) matching program
Weekly direct deposit
Industry leading allowances and reimbursements
Referral program with cash bonuses and additional perks
Exclusive job openings - Only at Epic
Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, housing, age, disability, or genetics.
We will consider all qualified applicants for employment, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws.
By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.
Qualifications:
BCLS, PALS
We love referrals! Let us help your friends and family find a great place to call home, and reward you with a $1,000 bonus. Ask your recruiter to learn more!
Pay rate is estimated based on weekly gross income.
Weekly gross pay based on qualifications and experience. Rate applies to travel positions only (50+ miles from permanent address).
Estimated Weekly Rate: $1342 per week
Job ID: 1038759
Head Nurse for Summer Program
Utilization review nurse job in Albany, NY
Job DescriptionSummer Season Head Nurse
Employment Type: Full-Time (June 16 - August 9, 2025)
About Client
Our client operates a highly regarded summer music camp and residential conservatory program located in the Adirondacks. Students arrive from domestic and international music institutions to participate in advanced programming and ensemble activity. The environment is immersive, structured, and physically active, making comprehensive health management essential throughout the duration of residency.
Compensation & Benefits
Base Salary: $1,500-$1,700 weekly, dependent on experience
Starting Bonus: Not offered
Relocation Assistance: Travel stipend included
Shift: Onsite full-time with rotating days off
Benefits Include:
Housing in a private AC-equipped room
Daily dining services provided
Access to practice facilities, campus recreation, and community programming
Job Summary
This individual acts as the primary medical authority onsite, managing all care decisions, documentation, and safety measures within a 3-bed infirmary. The Head Nurse also supports medication management, triage response, and supervision of all medical activities related to campers and staff.
Key Responsibilities
Oversee campsite-wide medical readiness
Conduct physical screenings and health intake processing
Lead urgent response efforts in collaboration with directors
Maintain controlled medication records and dispensing schedules
Maintain sanitation standards for infirmary and supplies
Facilitate external care visits including transport
Communicate health updates to families and staff
Track and mitigate potential communicable illnesses
Minimum Requirements
NY RN or LPN license in good standing (or pending eligibility)
CPR/AED/First Aid certifications
Ability to reside onsite and take part-time on-call coverage
Demonstrated comfort working with adolescent and young adult populations
Ideal Qualifications
Previous experience in schools, camps, or student housing settings
Ability to prioritize, assess, and resolve clinical needs quickly
Strong verbal communication
Wilderness First Aid desirable
Elevate Your Career
Apply for this Nurse position and let Rio Staffing represent you to our network of esteemed healthcare clients. We are committed to providing timely feedback and advocating for you throughout the hiring process, ensuring you find the role that aligns with your career goals. Our direct hire services focus on placing top healthcare professionals in positions where they can thrive and make a meaningful impact on patient care. Start your journey with us today and take the next step toward your ideal role in healthcare.