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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 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...

MLTC Clinical Quality Improvement Specialist

NYC Health + Hospitals - 24 reviews - New York, NY
Communicate with RN assessors and contracted vendors inconsistencies and changes needed in the review. Experience in medical records review, utilization and...

Case Manager - Day Shift

Mount Sinai Health System - 756 reviews - New York, NY 10029 (Yorkville area)
Previous experience in homeCare, long term care or utilization review preferred. NYS RN License. Minimum of 3-5 years experience as a RN in an acute care...

Director of Case Management - York, PA

HealthSouth - 357 reviews - York, PA
Additionally the DCM participates in utilization review activities; 1850 Normandie Drive, York, PA 17408 TOUR HealthSouth York Experience HealthSouth....

Registered Nurse - Cardiac Cath Lab

NYU Langone Hospitals - 260 reviews - New York, NY
(Include utilization of EHR education tools). NYU Langone is one of the nation’s premier academic medical centers that includes five hospitals (Tisch Hospital,...

RN Manager- Internal Medicine

Clinical Practice Mgmt Plan - Stony Brook - Southampton, NY
Registered Nurse (RN) licensed to practice in New York State. RN Ambulatory Manager- Stony Brook University – Department of Internal Medicine*....
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Care Manager, Long Term Care - RN - Telecommuter

Healthfirst - 641 reviews - New York, NY
New York State Registered Professional Nurse license. Assesses member's physical, psychosocial and discharge planning needs through communication with...

Clinical Resource Specialist

Smith & Nephew - 305 reviews - Fort Lauderdale, FL  +1 location
American Depository Receipts on the New York Stock Exchange. Collaborates with DMs and Sales Representatives to conduct business reviews for target accounts....

Registered Nurse - ALERT Team

NYU Langone Hospitals - 260 reviews - New York, NY
Engages in self-assessment and peer review; NYU Langone is one of the nation’s premier academic medical centers that includes five hospitals (Tisch Hospital,...

Registered Nurse (Operating Room)

Veterans Affairs, Veterans Health Administration - 2,815 reviews - Birmingham, AL
$50,403 - $94,810 a year
Practices, Ethics and Resource Utilization. The National Accreditation League for Nursing Accrediting Commission (NLNAC), an accrediting arm of the National...

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...
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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