RN Utilization Review York jobs

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Registered Nurse
Quality Health Plans of New York - Ronkonkoma, NY
4 or more years experiences in acute clinical/surgical experience, utilization management to include pre-authorization, utilization review, concurrent review,...
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Sponsored by Quality Health Plans of New York - 30+ days ago
Part Time Onsite RN Case Manager - Brooklyn NY
UnitedHealth Group 1,983 reviews - Brooklyn, NY
RN, Registered Nurse, Case Manager, Managed Care, Utilization Review, CCM, Discharge Planning, Brooklyn, NY, New York....
Sponsored by UnitedHealth Group - 7 days ago
Senior Clinical Practice Consultant - Telecommute - New York
UnitedHealth Group 1,983 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, New York, NY,...
Sponsored by UnitedHealth Group - 3 days ago

Care Coordinator-RN-LFH Primary Care Centers

Little Falls Hospital - Little Falls, NY
Ability to apply evidenced based utilization review criteria. Ability to assess clinical management of patients through chart review, participating in case...
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RN Care Coordinator

Universal American (UAM) - Houston, TX
RN Care Coordinator. RN with current state licensure. Review activities that take place during a patients hospital stay and/ or in a home or community setting...

Part Time Onsite RN Case Manager - Syracuse NY

UnitedHealth Group 1,983 reviews - Syracuse, NY - +2 locations
RN, Registered Nurse, Case Manager, Managed Care, Utilization Review, CCM, Discharge Planning, Syracuse, NY, New York....

Utilization Review Team Lead, MetroPlus HARP (02-452)

Beacon Health Strategies, LLC 15 reviews - New York, NY
New York, NY. Job Description The Team Lead for utilization management authorizes and reviews utilization of mental health and substance use services provided...

Nurses / Clinicians

Premier Home Health Care Services, Inc. - New York, NY
RN (BS preferred). Patient Services Managers (#PSM-C) have primary responsibility for ensuring that clients receive necessary services in a timely manner by...
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Registered Nurse-Referral Center Home Care

North Shore-LIJ Health System 115 reviews - Westbury, NY
Participates in Performance Improvement and Utilization Review activities within Home Care Network. Reviews home care referrals from all sources....

Behavioral Health Care Manager/UM HARP

Healthfirst 98 reviews - United States
Performs clinical review including pre-certification, concurrent and retroactive review , of all requests for behavioral health treatments and rehabilitative...

Case Manager/RN

CVPH Medical Center 17 reviews - Plattsburgh, NY
Utilization review and discharge planning experience preferred. Current New York State R.N. Establishes daily work list for insurance reviews....

Care Manager

New York City Health and Hospitals Corporation 18 reviews - New York
New York, NY 10038. Conducts medical record reviews as appropriate to case management functions. Perform discharge planning, out-patient and ancillary service...

RN- Case Manager- Emergency Room

Westchester Medical Center - Valhalla, NY
RN leadership & utilization review, quality assurance, or risk mgt experience:. The Case Manager is responsible for the implementation or investigation of the...
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Nurse Auditor/ RN Coder
All Med Search - Sacramento, CA
Medical Review Nurse-Coder. Conduct medical chart reviews. Active unrestricted RN license in good standing....
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Sponsored by All Med Search - 10 days ago
Nursing Home Case Manager RN Office Based - NY, NY
UnitedHealth Group 1,983 reviews - Manhattan, NY
Experience in utilization review, concurrent review and/or risk management. Current, unrestricted RN license in New York....
Sponsored by UnitedHealth Group - 30+ days ago
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