Medical Review Nurse jobs in New York, NY

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Clin Dcmtn Specialist
Holy Name Medical Center 25 reviews - Teaneck, NJ
involves extensive medical record review, interaction... medical/surgical background. •MSN, preferred. BSN required. •Current New Jersey Registered Nurse license
Sponsored by Holy Name Medical Center - 30+ days ago
Clinical Quality Assurance Auditor (RN)
Execu | Search 32 reviews - Manhattan, NY
lines Review clinical documentation in order to ensure that all components of the Member's medical record... RN 1 year of medical records review experience... $78,000 - $80,000 a year
Sponsored by Execu | Search - 24 days ago

Nursing Clinical Specialty Coordinator Non Np

Mount Sinai Medical Center 137 reviews - Manhattan, NY
We recognize the power and importance of a diverse employee population and strongly encourage applicants with various experiences and backgrounds....
1 day ago - save job - block - email - more...

Nurse Medical Management I

WellPoint, Inc 416 reviews - New York, NY
AS/BS in nursing preferred. Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care...
WellPoint - 4 days ago - save job - block - email - more...

Field-Based Chart Reviewer/Collector (RN/LPN)

Inovalon 66 reviews - Glen Cove, NY
prefer experience in performing chart abstractions;. Ability to manage and meet deadlines;. Professionally skilled in verbal and written communication;....
9 days ago - save job - block - email - more...

Staff Nurse - RN - Executive Health Program - Days

NewYork-Presbyterian/Weill Cornell Medical Center 172 reviews - New York, NY
Staff Nurse - RN - Executive Health Program - Days. Staff Nurse - RN - Executive Health Program - Days. This is a full time Monday – Friday day shift position...
NewYork-Presbyterian Hospital - 2 days ago - save job - block - email - more...

Nurse Evaluator

Jewish Home Lifecare 22 reviews - New York, NY
Understanding of insurance and eligibility requirements. BSN preferred. Knowledge of Patient Review Instrument (PRI) and ability to review supporting...
3 days ago - save job - block - email - more...

Nurse/RN

SCO Family of Services 69 reviews - Queens, NY - +1 location
Support and participate in behavior management program. Licensed R.N. Provide nurse assessment and triage when indicated....
6 days ago - save job - block - email - more...

Nurse Recruiter

Stony Brook-University Hospital - New York, NY
assist in the preparation of screening tool for job applicants;. submit (3) written references, and provide a copy of the required license(s)/certificate(s)....
Stony Brook University - 5 days ago - save job - block - email - more...

PRMS Coordinator

NYU Langone Medical Center 84 reviews - New York, NY
scheduling meetings and preparing agenda for each meeting;. Excellent communication skills are essential. working with investigators and research staff to amend...
7 days ago - save job - block - email - more...

Clinical Reviewer

EmblemHealth 43 reviews - New York, NY
Appeals experience preferred. Strong organizational skills. Performs clinical review of clinical cases to include appeals, retrospective reviews and claims...
20 days ago - save job - block - email - more...

Quality Improvement Project Manager, New York, NY

WellCare 74 reviews - Manhattan, NY - +1 location
Yes, 20 % of the Time. A Bachelor's Degree in nursing or a related health field, or equivalent years of related experience required....
1 day ago - save job - block - email - more...
Clinical Quality Assurance Auditor RN (ph)
Healthfirst 62 reviews - New York, NY
Experience in medical records review, claims... and RN License with work experience in medical records review, claims processing or utilization/case...
Sponsored by Healthfirst - 21 days ago
Registered Nurse (RN) - HEDIS Manager - Clinical Quality
Centra Healthcare Solutions - Iselin, NJ
external HEDIS quality review activities.-Manages and... plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing...
Sponsored by Centra Healthcare Solutions - 1 day ago
Registered Nurse (RN) - Clinical Quality
Centra Healthcare Solutions - Iselin, NJ
interventions, medical record review, focus studies... or refer to Medical Director for further review; prepares cases for Peer Review Committee.Qualifications...
Sponsored by Centra Healthcare Solutions - 16 hours ago
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Company with Medical Review Nurse jobs
62 reviews
Healthfirst, one of the fastest growing health plans in New York & New Jersey, provides high-quality healthcare to over 900,000 members.
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