Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Salary Range: $77,075.00 - $119,466.00 Responsible for Utilization Management, Quality Screening and Delay Management for assigned p…
Skills: Utilization management, Quality screening, MCG criteria, Clinical documentation improvement, Case management
Food & Water Watch
Albany Organizer
Albany, New York, United States · Hybrid
$55k–$65k/yr
Mid level
Albany Organizer Food & Water Watch is looking for an Albany-based Organizer to join our New York Organizing team to advocate for the protection of our food, water, and climate. The Albany Organizer will work closely wit…
Skills: Organizing, Campaign planning, Volunteer recruitment, Volunteer training, Coalition building
MOHAWK OPPORTUNITIES, INC.
Clinical Assistant Program Director
Albany, New York, United States · On-site
Senior
Clinical Assistant Program Director The Clinical Assistant Program Director will work closely with the Clinical Program Director to oversee and support the operation and development of the program ensuring services are o…
$1250 sign on bonus may apply A Child's Place has several Teacher Aide positions available in Albany, NY. A Child's Place (Albany). This location is on the bus line! This position requires you to be on site and on time f…
Skills: Childcare, Classroom management, Early childhood education, Classroom organization, Inclusion
Employment Type:Full timeShift:Night Shift Description: Full-Time On-Call Registered Nurse (RN ) Hospice in the Capital Region and Saratoga county areas - Overnights The Community Hospice is seeking a compassionate and d…
Skills: Nursing, Hospice care, Palliative care, Symptom management, Clinical documentation
Department/Unit: HBD - Internal Medicine Work Shift: Day (United States of America) Salary Range: $70,068.00 - $108,605.00 Create optimal outcomes for the patient and family by managing complex psychosocial and economic …
Skills: Clinical social work, Care transitions, Psychosocial assessment, Crisis intervention, Patient advocacy
Department/Unit: Work Shift: Day (United States of America) Salary Range: $54,690.00 - $82,035.00 Nutritionist Full time Primary Location 220 Green Street Albany, NY 12208 Job Description • Develop and implement high ris…
Skills: Nutrition assessment, Care planning, Breastfeeding support, WIC program regulations, Participant education
Department/Unit: HBD - Peds Counseling & Behavioral Health Work Shift: Day (United States of America) Salary Range: $85,280.00 - $132,184.00 Registered Nurse Pediatric Behavioral/Developmental Office Albany, NY We are lo…
Department/Unit: Emergency Department Work Shift: Night (United States of America) Salary Range: $43,599.00 - $56,679.00 The Mental Health Assistant (MHA) functions as a member of the health care team under the supervisi…
Skills: Patient care, Vital signs monitoring, Infection control, Psychiatric care, Documentation
AthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group psych…
Department/Unit: Emergency Medicine General Work Shift: Per Diem (United States of America) Salary Range: The Physician Assistant (PA) is a credentialed position required to function in and practice in an expanded specia…
Skills: Patient assessment, Physical examinations, Diagnostic procedures, Medical laboratory test interpretation, Pharmacology
Instructions for Applicants Applicants must include a cover letter and resume for review. Resumes not accompanied by a cover letter will be deemed incomplete and will not be considered. Applicant must describe in a cover…
Skills: Microsoft Word, Microsoft Excel, SharePoint, Outlook, Data management
Department/Unit: HBD - Neurology Work Shift: Day (United States of America) Salary Range: $85,280.00 - $132,184.00 The Registered Professional Nurse in the ambulatory setting provides care across the life span to individ…
Skills: Nursing, Patient Assessment, Patient Education, Care Coordination, Patient Advocacy
About Us: God’s Love We Deliver, a nonsectarian organization, is the New York metropolitan area’s leading provider of life-sustaining meals and nutrition counseling for people living with severe illnesses. Be…
Skills: Community Outreach, Relationship Building, Public Speaking, Project Management, Customer Service
Job DetailsJob Location: Albany, NY 12205Position Type: Full-TimeSalary Range: $25.50 - $26.75 HourlyJob Shift: DayEvery young person has a story. Some have simply faced more obstacles than others. At Together for Youth,…
Are you Ready to Launch Your Career? 🚀 Join us in our mission as a Week Night Resident Advisor at Catholic Charities of Housing Office. Imagine yourself as part of an organization with a profound commitment to making a …
Job DetailsJob Location: Albany, NY 12205Position Type: Full-TimeSalary Range: $21.25 - $23.50 HourlyJob Shift: DayThis position includes a travel incentive plan for eligible new hires! This facility is currently located…
Job DetailsJob Location: Albany, NY 12205Position Type: Full-TimeSalary Range: $60,000.00 - $64,500.00 Salary/yearJob Shift: DayThe Program Coordinator is responsible for the day-to-day management of the Care Management …
Skills: Care management, Staff supervision, Program development, Compliance monitoring, Case management
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$77k–$119k/yr
Full-time
associate degree, bachelor degree
Posted 29d ago
~40 hrs/week
Responsibilities
The Utilization Review Nurse is responsible for performing utilization management, quality screening, and delay management for assigned patients. They collaborate with the healthcare team to ensure appropriate admissions, continued stays, and effective care management across the continuum.
Requirements
Candidates must be a Registered Nurse with a current New York State license and at least three years of clinical experience. An associate's degree is required, while a bachelor's degree and case management certification are preferred.
Full job description
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Salary Range:
$77,075.00 - $119,466.00Responsible 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. • Associate's degree required. 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 Med Health System!
Albany Med Health System is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Med Health System, 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 Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Albany Medical Center, northeastern New York’s only academic medical center, is one of the Capital Region’s largest private employers with more than 9,000 employees. Albany Medical Center provides the highest level of patient care across disciplines, while receiving regional, national, and international recognition for high standards in patient care, education, and biomedical research.
The 766-bed Albany Medical Center offers access to the latest medical services and technological innovations and includes one of the busiest emergency rooms and trauma centers in New York, a children’s hospital and dedicated pediatric emergency room, intensive care units for adults and children, and organ transplant services. Albany Medical College graduates more than 200 medical doctors each year, as well as PAs, CRNAs, biomedical scientists, and bioethicists. Albany Medical College operates a biomedical research enterprise and the region’s largest physician practice with more than 500 doctors.
Albany Medical Center, along with Albany Medical College, is a partner in the Albany Med Health System, the largest and only regionally governed, not-for-profit health system serving northeastern New York and western New England.
Offices: 43 New Scotland Avenue, Albany, NY 12208-3478, US
How many Social Services jobs are open in Albany, NY right now?
There are currently 238 open social services positions in Albany, NY listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Social Services roles in Albany, NY?
Companies currently hiring include Center for Disability Services, St. Peter's Health Partners, Together for Youth, Northern Rivers Family of Services, Albany Medical Center, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Social Services jobs in Albany, NY?
Yes — 25 of the 238 open social services positions offer remote or hybrid work (4 remote, 21 hybrid).
How do I apply for Social Services jobs in Albany, NY?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.