RN Utilization Review York jobs

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LMSW/CASAC/RN/Behavioral Health/$30.00/hr.
Med-Scribe, Inc. Healthcare Recruiters - Buffalo, NY
RN with current New York State license (BSN Preferred) or a New York State licensed Social Worker (LMSW) or a New York State certified Alcohol and Substance...
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Sponsored by Med-Scribe, Inc. Healthcare Recruiters
Case Manager - Registered Nurse (RN)
North Shore-LIJ Health System 125 reviews - Manhasset, NY
Reviews patient's chart. Performs concurrent utilization management using Interqual criteria. Communicates with insurance companies and physicians regarding...
Sponsored by North Shore-LIJ Health System
Registered Nurse-Referral Center Per Diem
North Shore-LIJ Health System 125 reviews - Westbury, NY
Participates in Performance Improvement and Utilization Review activities within Home Care Network. Reviews home care referrals from all sources....
Sponsored by North Shore-LIJ Health System
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RN Quality Documentation Specialist

Phelps Memorial Hospital Center 15 reviews - Sleepy Hollow, NY
RN Quality Documentation Specialist. Reviews medical records for assigned Core Indicators; E xperience in Clinical Quality Assurance or Utilization preferred;...

Utilization Review RN

APS Healthcare 70 reviews - Syracuse, NY
Performs utilization review in accordance with all state and federal mandated regulations. RN, with current NY state licensure....

Case Manager-Full time-York

WellSpan Health Services 70 reviews - York, PA
Pennsylvania RN license required. Techniques as needed to prevent over and/or under utilization. Minimum of 5 years experience as an RN with med/surg background...

Utilization Review Clinician (02-778)

Beacon Health Strategies 152 reviews - New York, NY  +1 location
3 years of Utilization Review experience. The Utilization Review Clinician performs utilization review and initial authorization determination of mental health...

RN Case Manager

APS Healthcare 70 reviews - Dallas, TX
RN with current Texas licensure. Assist in retroactive reviews done for the Claims department. Review activities that take place during a patient’s hospital...

Case Manager - RN (Case mgmt. exp. pref., Suffolk County)

North Shore-LIJ Health System 125 reviews - Huntington, NY
Reviews patient's chart. Performs concurrent utilization management using Interqual criteria. Communicates with insurance companies and physicians regarding...

RN Case Manager

POMCO 4 reviews - Rochester, NY  +1 location
Identifies high risk, high cost, or high utilization cases. Reviews alternative treatment plans for case management candidates and assesses available benefits...

AMBULATORY CARE RN

A.O. Fox Memorial Hospital 12 reviews - Oneonta, NY
Excellent written and verbal communication skills Ability to assess clinical management of patients through chart review, participating in case reviews,...

Administrative Law Judge Appeals RN

HP 4,015 reviews - Hingham, MA
Previous health care insurance utilization and/or claims review experience required. Administrative Law Judge Appeals RN....

Coordinator, Stroke Program - RN

North Shore-LIJ Health System 125 reviews - Valley Stream, NY
Further, you will prepare reports and statistical analysis for Quality Assurance, Utilization Review and team conferences....
Behavioral Health Care Manager - Utilization Review
Healthfirst 109 reviews - New York, NY
Behavioral health case management experience in Utilization Review capacity. Experience working in a medical management department in Utilization Review...
Sponsored by Nurse.com
Coordinator, Stroke Program - RN
North Shore-LIJ Health System 125 reviews - Valley Stream, NY
Further, you will prepare reports and statistical analysis for Quality Assurance, Utilization Review and team conferences....
Sponsored by North Shore-LIJ Health System
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Company with RN Utilization Review York jobs
North Shore-LIJ Transforming Care. Transforming Careers.