RN Utilization Review York jobs

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Appeals RN

North Shore-LIJ Health System 103 reviews - New Hyde Park, NY
Reviews and coordinates utilization issues concurrently and retrospectively related to denials from all payors....
2 hours ago - save job - email - more...

Care Manager (RN)- House Calls

North Shore-LIJ Health System 103 reviews - New Hyde Park, NY
Travels to various hospitals and provider facilities to conduct on-site utilization reviews and provider orientation/education....
2 hours ago - save job - email - more...

Registered Nurse Director Utilization Management

Pathway Medical Staffing - Bronx, NY
Five or more years experience in utilization management. Registered Nurse license in the State of New York. Use data analysis to evaluate prior authorization...
4 hours ago - save job - email - more...

Case Manager RN Field Based

APS Healthcare 66 reviews - Elmira, NY
RN current NYS licensure - required. Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion....
10 hours ago - save job - email - more...

Inpatient Care Nurse

WellCare 96 reviews - Tampa, FL - +2 locations
Required 2+ years of experience in a clinical setting with general nursing exposure in utilization management to include pre-authorization, utilization review,...
17 hours ago - save job - email - more...

Program Manager - DeMay Living Center

DeMay Living Center 5 reviews - Newark, NY
Reviews census to identify high risk patients not referred. RN BSN with minimal 3 years clinical experience a plus....
Rochester General Health System - 17 hours ago - save job - email - more...

Orthopedic Care Manager/Occupational Therapist

Execu | Search 38 reviews - White Plains, NY
$72,000 - $84,000 a year
Referring cases for peer review that do not meet clinical review criteria for either initial or continued authorization....
17 hours ago - save job - email - more...

Case Manager

New York Methodist Hospital 79 reviews - Brooklyn, NY
Must possess knowledge of Federal and State regulations pertaining to hospital reimbursement, the utilization review process and the discharge planning function...
19 hours ago - save job - email - more...

Clinical Documentation Specialist

Guthrie Healthcare System 19 reviews - Corning, NY
RN; Critical care, utilization review or coding experience desired. Licensed as a registered nurse by New York....
21 hours ago - save job - email - more...

Clinical Document Specialist (RN)-Health Info Management (Fu...

Shared Services Center - Bethlehem - York, PA
York Memorial Hospital. Provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization...
1 day ago - save job - email - more...
Grievance & Appeal Spec RN
Visiting Nurse Service of New York 116 reviews - Manhattan, NY
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
Sponsored by Visiting Nurse Service of New York - 9 days ago
Utilization Review RN
York Hospital 18 reviews - York, ME
2 or more years of Utilization Review experience, an active RN License, and BLS Certification. Current certification in Utilization Review and a BSN is...
Sponsored by York Hospital - 30+ days ago
RN Case Management
Winthrop-University Hospital 90 reviews - Mineola, NY
Current New York State licensed Registered Nurse. Certification from the NYS Department of Health as a Patient Review Instrument (PRI) Assessor preferred....
Sponsored by Winthrop-University Hospital - 25 days ago

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Company with RN Utilization Review York jobs
116 reviews
Looking for jobs in Nursing (RN Manager, LPN), Physical Therapy, Occupational Therapy, Home Care? VNSNY has a career for you.