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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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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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Part-Time Edit Coder - Remote

Conifer - 534 reviews - Texas
And (b) initiate a review worksheet. Conifer Health Solutions is currently hiring for an RN CDI Specialist!...

Research Nurse Practitioner, Asthma and COPD Program

NYU Langone Health - 259 reviews - New York, NY
Review of office’s schedule to identify subjects as potential candidates for specific research project. NYU Langone is one of the nation's premier academic...

Case Manager

A.O. Fox Memorial Hospital - 14 reviews - Oneonta, NY
Must be able to move around facility and to other facilities for hospital meetings, meeting with patients etc. New York State RN license or MSW license required...

Care Manager

South Nassau Communities Hospital - 103 reviews - Oceanside, NY
2-3 years of case management, utilization reviews or discharge planning experience highly preferred. Licensed and currently registered or otherwise duly...

RN Case Manger- New York

InforMed Med Mgmt Services - Maryland
Pre-certification/Pre-notification Identifies and utilizes the applicable utilization review/management tools, while performing pre-certification/pre...

Nurse, Coord-HC Intake / H8707

Winthrop-University Hospital - 187 reviews - Mineola, NY
Current New York State RN license. Current NYS RN License. 3-5 years medical/surgical experience with related community health or 3-5 years medical/surgical...


Beacon Health Options - 316 reviews - New York, NY
Advocates for the FIDA services member/family among various sites to coordinate resource utilization and evaluation of services....

Registered Professional Nurse

Camelot of Staten Island, Inc. - Staten Island, NY
Monitor infection control, quality assurance and utilization review procedures in accordance with agency policy....
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RN-Clinical Documentation-St.Peter's Hospital-Fulltime Days

St. Peter's Health Partners - 16 reviews - Albany, NY 12208 (Whitehall area)
Experience with criteria-based chart review, such as Case Management, Utilization Management, Managed care, Quality Improvement preferred....

Clinical Documentation Integrity Specialist

The University of Vermont Medical Center - 8 reviews - Burlington, VT
Maintain accurate records of review activities to comply with departmental and regulatory agency guidelines. The Clinical Documentation Improvement Specialist...
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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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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....
Utilization Review Coordinator, RN $5000 Sign On Bonus
Visiting Nurse Association of Central New York Inc - Syracuse, NY 13204
The Utilization Review Coordinator assists the utilization review process taking on. Performs utilization review in accordance with all state mandated...
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