RN Utilization Review York jobs

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Utilization Managment Care Manager
Execu | Search 37 reviews - Manhattan, NY
$70,000 - $78,000 a year
RN, LPN, AAS. A renowned managed care organization in New York City is seeking a dedicated Utilization Management Care Manager....
Sponsored by Execu | Search - 25 days ago
Clinical Supervisor
WILLCARE - Kingston, NY
Review occurrence reports. Review visit calendars to ensure appropriate utilization of services and the assignment of service codes....
Sponsored by WILLCARE - 30+ days ago

Utilization Review RN

York Hospital 15 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...
30+ days ago - save job - email - more...

Utilization Management Nurse

Green Key Resources 19 reviews - White Plains, NY
$70,000 - $80,000 a year
Current New York RN license. Knowledge of utilization review, evidence-based guidelines, and case management process....
5 days ago - save job - email - more...

Nurse - Hedis

Medisys 7 reviews - Wayne, PA
Active RN license. MEDISYS is a specialized firm for nurses with skills in medical record review (MRR) in a variety of settings....
Easily apply
11 days ago - save job - email - more...

Behavioral Health RN Care Manager

APS Healthcare 61 reviews - Charleston, WV
As a Behavioral Health Care Manager you will perform medical necessity reviews for WV Medicaid outpatient and inpatient behavioral health services within...
4 days ago - save job - email - more...

Assistant Director of Clinical Services -LTHHCP

Beth Abraham Family of Health Services - Brooklyn, NY
Participates in utilization review, adverse events, performance improvement, professional advisory, marketing/health fairs, revision of job description and...
2 days ago - save job - email - more...

Care Manager

South Nassau Communities Hospital 49 reviews - Oceanside, NY
Graduate of an accredited Registered Nurse diploma or college program, five or more year's of progressive hospital experience, 2-3 years of case management,...
9 days ago - save job - email - more...

Specialty Coordinator, Nurse Practitioner

Mount Sinai Medical Center 167 reviews - New York - +1 location
RN. Keeps knowledge current by self directed learning, literature review and attendance at educational programs....
2 days ago - save job - email - more...

Behavioral Health Utilization Management Manager I-New York

Anthem, Inc. 493 reviews - New York, NY
Utilization Management experience is required. Current unrestricted license as an RN, LBSW (as allowed by applicable state laws), LPC (as allowed by applicable...
16 days ago - save job - email - more...

Clinical Quality Audit Analyst Sr - RN --EV

Anthem, Inc. 493 reviews - New York, NY
New York City, New York. 2 years experience in quality improvement, risk management and/or utilization review in a managed care setting....
5 days ago - save job - email - more...

Clinical Quality Assurance Auditor RN

Healthfirst 78 reviews - New York, NY
Experience in medical records review, claims processing or utilization and case management in a clinical practice or managed care organization....
6 days ago - save job - email - more...
RN Case Manager
York Hospital 15 reviews - York, ME
Performs on-site and/or telephonic concurrent review of acute services, as well as precertification review for all services following the plans authorization...
Sponsored by York Hospital - 17 days ago
Case Manager - RN required (Office based) - Tampa, FL 140877...
IBM 4,839 reviews - Tampa, FL
Promotes effective utilization and monitors health care resources. A Fortune 500 company traded on the New York Stock Exchange (symbol:....
Sponsored by Nurse.com - 5 days ago
Nurse Case Manager
1199SEIU Family of Funds - New York, NY
Minimum two (2) years medical and surgical clinical experience plus a minimum of one (1) year case management, utilization review, or disease management...
Sponsored by 1199SEIU Family of Funds - 30+ days ago
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