RN Utilization Review York jobs

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Case Manager - RN (Case mgmt. exp. pref., Suffolk County)
North Shore-LIJ Health System 132 reviews - Huntington, 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
Senior Clinical Practice Consultant - Telecommute - New York
UnitedHealth Group 2,190 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
Medical Review Nurse Analyst
HP 4,113 reviews - Biddeford, ME
Are you ready to give your career the boost it deserves?DME MACNHIC DME MAC has the responsibility for providing services to Medicare beneficiaries and Durable...
Sponsored by ClearedJobs.Net

Case Manager Utilization Management RN

Visiting Nurse Service of New York 139 reviews - Brooklyn, NY
Minimum three years of progressive professional experience in utilization review and quality improvement in an acute or managed care setting required....

Registered Nurse (ICU)

U.S. Department of State 144 reviews - Murfreesboro, TN
$45,284 - $88,462 a year
Practice, ethics and resource utilization; Practice, ethics and resource utilization, Professional Development:....

Utilization Review, RN

APS Healthcare 72 reviews - North Syracuse, NY
The Utilization Review RN will review clinical documentation to determine the medical necessity of requested services by providers and members....

Case Manager RN-(Full-time)

York Memorial Hospital - York, PA
Case Management / Utilization Review. York Memorial Hospital. Case Manager RN-(Full-time)....

Registered Nurse Case Manager

Winthrop-University Hospital 106 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....

Clinical Support Specialist

MAQUET GmbH & Co. KG - New York, NY
Performs clinical and library research and participates in case reviews and clinical observation by working with physicians and hospital lab staff....

Case Manager/RN

CVPH Medical Center 19 reviews - Plattsburgh, NY
Utilization review and discharge planning experience preferred. Current New York State R.N. Establishes daily work list for insurance reviews....

Nurse Case Reviewer

MagnaCare 24 reviews - Westbury, NY
MagnaCare provides Utilization Review/ Medical Management services to its clients. Strong skills in medical assessment/medical record review....

Utilization Review Services Nurse I

York Risk Services Group Inc. - Austin, TX
Conducts utilization reviews on the referrals received. Two or more year’s clinical nursing experience in acute care setting with utilization review experience...

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...
Telephonic Case Manager - New York
UnitedHealth Group 2,190 reviews - Glen Cove, NY
Experience in utilization review, concurrent review and/or risk management. Current, unrestricted RN license in New York....
Sponsored by UnitedHealth Group
Telephonic Behavioral Care Advocate - Latham, NY
UnitedHealth Group 2,190 reviews - Latham, NY
Behavioral health, mental health, rn, psychology, counseling, social work, phd, latham, New York, NY, substance abuse, inpatient, telephonic, behavioral care,...
Sponsored by UnitedHealth Group
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