Medical Necessity RN jobs in Albany, NY

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TL CLINICAL
RN, LCSW, LPC, or PhD. Directs members to an appropriate mental health, substance abuse or EAP provider and reviews care on a regular basis to determine whether...

Nurse Care Advocate

Landmark Health - 12 reviews - Latham, NY 12110
Reviews medical information collected including medical records and/or performs additional assessment to facilitate medical necessity determinations regarding...

Utilization Management Nurse Consultant

Aetna - 2,446 reviews - Albany, NY
Reviewing services to assure medical necessity. Benefits Management/Supporting Medical Practice/ADVANCED. An RN license is required....

Utilization Management RN

Ellis Hospital - 72 reviews - Schenectady, NY
The UM RN ensures the appropriate level of care is determined and ensures accurate assessment of medical necessity;...

TL CLINICAL

Beacon Health Options - 347 reviews - Latham, NY
RN, LCSW, LPC, or PhD. Directs members to an appropriate mental health, substance abuse or EAP provider and reviews care on a regular basis to determine whether...

Medicaid Registered Nurse (DOS) - Item 1326

PCG Staffing Solutions Organization LLC - Albany, NY
Experience in claims processing, prior approval of medical supplies/equipment or experience in examination of medical records, documentation, proposed treatment...
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Nurse Care Manager Assistant Lead

Landmark Health - 12 reviews - Latham, NY 12110
This position does NOT make independent decisions as they relate to medical necessity or use clinical judgment to either authorize or deny services....

CARE MANAGER

Beacon Health Options - 347 reviews - Latham, NY
Provide reviews for predetermination of medical necessity. Review proposed courses of treatment for medical necessity....

Nurse Care Manager Assistant

Landmark Health - 12 reviews - Latham, NY 12110
This position does NOT make independent decisions as they relate to medical necessity or use clinical judgment to either authorize or deny services....

Care Manager- Latham, NY (51807) (PL)

Cornerstone RPO - Latham, NY
Provide reviews for predetermination of medical necessity. Review proposed courses of treatment for medical necessity....

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