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RN Nursing Home Surveyor / Complaint Investigator - NYC Regi...
IPRO - 20 reviews - New York, NY
A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities...
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RN Home Health Healthy@Home Opportunities
York - Rockhill, SC. Or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state...

Clinical Review and Coding Nurse

CDPHP - 25 reviews - Albany, NY
RN with a valid New York State license required. Ability to review health care delivery against established criteria is required....

2017 New Graduate RN Positions

NYU Langone Hospitals - 260 reviews - New York, NY
(Include utilization of EHR education tools). *This position is for 2017 Spring RN Graduates with at least a 3.5 GPA**....

Registered Nurse (Infection Control)

Department Of Veterans Affairs - 2,820 reviews - Birmingham, AL 35233
$48,004 - $90,293 a year
The National Accreditation League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National League for Nursing located at 61 Broadway, 33rd...

Case Manager, RN

Northwell Health - 358 reviews - New Hyde Park, NY  +1 location
Performs concurrent utilization management. Prior experience in utilization management and/or discharge planning, preferred....

RN Case Manager

Montefiore | Mount Vernon - Mount Vernon, NY
RN Case Management:. Assures appropriate patient care through patient, family, and staff education, quality assessment and continuous improvement, timely...
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Manager Care Management - Care Management (CH)

Sisters Of Charity Hospital - Acute - 34 reviews - Buffalo, NY
Responsible for direct supervision for a 7 day a week 16 to 24 hours a day operation including weekend/holiday on call and of a minimum of 5 associates...

Registered Nurse- Perlmutter Cancer Center - Infusion (Rego...

NYU Langone Health - 260 reviews - Rego Park, NY
Engages in self-assessment and peer review; It comprises more than 200 locations throughout the New York area, including five inpatient locations , a children’s...

Clinical Care Coordinator

Behavioral Health, Department of - Washington, DC
$76,082 - $97,340 a year
Conducts chart reviews of instance of care authorized for utilization purposes and case reviews for individuals that are identified as either over or under...

Care Coordination Clinical Quality Nurse

Community Healthcare Network - 46 reviews - New York, NY
Utilization review activities, including review of member charts in the. Utilization of services; Clinical quality nurses are highly-skilled, licensed...

Registered Nurse - Cardiac and Vascular Unit

NYU Langone Hospitals - 260 reviews - New York, NY
Engages in self-assessment and peer review; It comprises more than 200 locations throughout the New York area, including five inpatient locations , a children’s...
Care Manager - Utilization Review (RN)
Execu | Search - 66 reviews - New York, NY
$87,000 - $90,000 a year
The Utilization Review Care Manager will:. A premier managed long-term care facility located in New York City is actively seeking a self-motivated and...
RN Manager, Quality Assurance & Regulatory Oversight - MLTC
Fidelis Care - 171 reviews - Rego Park, NY 11374
RN:. NYS RN License. Communicate with RN assessors and contracted vendors inconsistencies and changes needed in the review....
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Utilization Review Nurse
Fidelis Care - 171 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. NYS RN Licensure required. The Utilization Management (UM) Clinician performs clinical reviews...
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