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RN/Registered Nurse/Utilization Review/Weekdays #51816
Med-Scribe, Inc - Buffalo, NY
#50916 - RN / Utilization Review Nurse – Direct Hire, excellent benefits!*. We are seeking qualified RNs for full time, DIRECT HIRE Utilization Review positions...
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Utilization Management Coordinator (RN)
Execu | Search - 56 reviews - New York, NY
In this role, the Utilization Management Coordinator will be responsible for comprehensive utilization review of requested Medicaid/Medicare covered items and...
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Case Manager, Nurse Consultant

Alvarez & Marsal - 14 reviews - New York, NY 10022 (Midtown area)
BSN in Nursing and CCM highly preferred 10 plus years of Utilization Review experience in Hospital Case Management Previous Utilization Review, Quality...

Appeals Nurse (Clinical Denials Management)

Bon Secours Charity/WMC Health - Suffern, NY
New York State RN license required.  New York State RN license required. Must have working knowledge of utilization management, case management and process...
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Case Manager

NYC Health + Hospitals - 11 reviews - New York, NY
New York, NY 10038. Ability to identify utilization trends and potential member needs. Conducts medical record reviews as appropriate to case management...

Case Management Team RN

Samaritan Health - 10 reviews - Watertown, NY
Utilization review experience preferred. Current NYS licensure as an RN. Located in New York State’s magnificent North Country, Samaritan Medical Center has a...

Utilization Review Coordinator

PSCH, Inc. - Flushing, NY 11355
Quality Assurance Utilization Review Coordinator*. Utilization Reviews and Quality Audits in a Medicaid-funded environment:. LMSW, LMHC, RN, Psychologist*....
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Registered Nurse-Perdiem

Hickok Center for Brain Injury, Inc - Rochester, NY 14607 (East Avenue area)
Performs utilization review in accordance with all state mandated regulations. Performs continuing review on medical records....
Easily apply

Vocational Case Manager

The Standard - 78 reviews - Altavista, VA
Conduct employability assessments from file reviews and during consultations with division benefits staff. Assure cost containment and effective utilization of...

Care Manager- HQMP

Health Quest - 22 reviews - Wappingers Falls, NY
Review utilization patterns and other metrics to monitor patient adherence of chronic disease management. Registered Nurse licensed in the state of New York....

Admissions Coordinator

Acacia Network - 35 reviews - Bronx, NY
Submitting concurrent review package & follow up with Utilization Management team at the Managed Care Plan for status....

Case Manager Medicare

NYC Health + Hospitals - 11 reviews - New York, NY
New York, NY 10038. Conducts medical record reviews as appropriate to case management functions. Registered Nurse, current New York State license, Bachelors’...
Utilization Review Nurse (RN)
Execu | Search - 56 reviews - New York, NY
Reporting to the Senior Director of Utilization Review, the Utilization Review Nurse (RN) will be responsible for completing timely utilization review for a...
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Utilization Review Coordinator, RN
Visiting Nurse Association of Central New York Inc - Syracuse, NY
The Utilization Review Coordinator assists the utilization review processtaking on. Performs utilization review in accordance with all state mandatedregulations...
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NURSE
Monte Nido Inc - Springfield, OR
Dependingon qualifications and experience, additional responsibilities may includeinsurance utilization reviews or other tasks as assigned....
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