RN Utilization Review York jobs

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Director, Case Management
North Shore-LIJ Health System 56 reviews - New Hyde Park, NY
Current license to practice as a Registered Professional Nurse in New York State. In this role, you will oversee the resource utilization for the hospital;...
Sponsored by Nurse.com - 7 days ago
Field Service Coordinator - RN (Field Case Management) Moult...
IBM 4,716 reviews - Savannah, GA
Current State RN licensure. Promotes effective utilization and monitors health care resources. Prior utilization management experience preferred in some...
Sponsored by Nurse.com - 6 days ago
Utilization Review Coordinator
Renfrew Center 3 reviews - New York, NY
The Renfrew Center of New York has an immediate opening for a full-time Utilization Review Coordinator. The Renfrew Center has been a pioneer in the treatment...
Sponsored by CareerBuilder - 9 days ago

Care Manager, RN

WellCare 89 reviews - Newark, NJ
Care Manager, RN. Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret treatment plans...
15 days ago - save job - email - more...

Registered Nurses

Extended Home Care 6 reviews - New York, NY 10001 (Chelsea area)
Takes part in quarterly chart audits and utilization review. Current NYS RN License. Full Time - New York, NY....
Recruitics - 4 days ago - save job - email - more...

Grievance & Appeal Spec RN

Visiting Nurse Service of New York 106 reviews - Manhattan, NY
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
22 days ago - save job - email - more...

RN Appeals Specialist

Smith Arnold Partners - Yonkers, NY
$95,000 a year
RN with current New York state licensure, BSN. Reviews and coordinates utilization issues concurrently and retrospectively related to potential denials from...
17 days ago - save job - email - more...

Nurse Manager - PACU

Rochester General Hospital 98 reviews - Rochester, NY
Collaborates with CNO/Director of Quality to provide quality review activities. Guides assigned areas in utilization of recognized improvement tools, data...
Rochester General Health System - 16 days ago - save job - email - more...

Case Management Nurse RN

Assurant 314 reviews - Milwaukee, WI - +1 location
Review case management claims as necessary. Review, supervise and monitor treatment options proposed by external case manager....
8 days ago - save job - email - more...

Hedis Nurse

Medisys 7 reviews - Wayne, PA
Active RN license. MEDISYS is a specialized firm for nurses with skills in medical record review (MRR) in a variety of settings....
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30 days ago - save job - email - more...

RN Supervisor, Interdisciplinary Care

EmblemHealth 51 reviews - New York, NY
City New York. Provides clinical supervision and support and conducts performance reviews in accordance with Emblem....
8 days ago - save job - email - more...

Clinical Education Specialist

EmblemHealth 51 reviews - New York, NY
City New York. Conducts quality reviews and audits. Develops processes for periodic quality reviews and audits to ensure protocols and standards are met....
13 days ago - save job - email - more...

Case Manager, Senior

WellCare 89 reviews - Cypress, CA
Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret treatment plans Ability to create,...
20 days ago - save job - email - more...
Enrollment RN - MTLC - CareConnect Health Plan
North Shore-LIJ Health System 56 reviews - Greenvale, NY
Participates in quality improvement and utilization review activities. Reviews and processes referrals to initiate services....
Sponsored by North Shore-LIJ Health System - 30+ days ago
Care Manager
Execu | Search 37 reviews - Manhattan, NY
PRI certified and have Utilization and/or Concurrent Review experience with an acute care facility. This is a promising position for an RN to further their...
Sponsored by Execu | Search - 30+ days ago
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Company with RN Utilization Review York jobs
56 reviews
North Shore-LIJ Transforming Care. Transforming Careers.