General information
Description & Requirements
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Essential Duties and Responsibilities:
- Responsible for reviewing favorable and partially favorable determinations in accordance with applicable regulations.
- Render medical necessity determinations for cases assigned.
- Resolve all other technical issues within reconsideration assigned.
- Review cases or sites assigned to determine and summarize facts and assess any issues identified.
- Perform other special projects not related to a specific case such as general legal research, general medical research, drafting proposal sections, or acting as a liaison for a specific project, when necessary.
- Perform other duties as assigned by management.
-Enter assessment data into the UAS-NY online application and transmit, as required.
Minimum Requirements
-Active RN license required.
Minimum 2 years clinical experience required with RN license.
-2+ years RN in-home care experience.
NYMC #NYMCRegisteredNurse #NYMCRN #NOVBronxRNs #rnsbronx #maxPriority #rnjan25
EEO Statement