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Utilization Review Coordinator, RN- Rochester $5K Sign On Bo...
Visiting Nurse Association of Central New York Inc - Rochester, NY
The Utilization Review Coordinator assists the utilization review process taking on. Performs utilization review in accordance with all state mandated...
Licensed Utilization Review Nurse I (Call Center Nurse) 1297...
Anthem, Inc. - 2,104 reviews - Albany, NY 12201
2 years of clinical or utilization review experience; Review of claim edits, pre-noted inpatient admissions or, episodic outpatient therapy such as physical...
Utilization Review Lead Nurse (RN)
Execu | Search - 63 reviews - New York, NY
$100,000 - $150,000 a year
The Utilization Review Lead Nurse (RN) will:. Review the quality and volume of nurse reviews and provider interactions....

Utilization Management (UM) Clinical Consultant

Aetna - 2,218 reviews - New York, NY 10016 (Gramercy area)
RN with unrestricted New York license required. Exposure to various clinical reviews. 1+ years managed care/utilization review experience preferred....

Utilization Review/Clinical Documentation Improvement Specia...

State of New York - 27 reviews - Syracuse, NY
$64,000 a year
NYS License RN, Bachelors Degree in Nursing (or healthcare related field) and a minimum of three years RN nursing experience, or Associates Degree in Nursing...

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,218 reviews - Hartford, CT 06156
Telephonic Utilization Review nurse with RN degree. RN with current unrestricted New York state licensure;...

Clinical Quality Assurance Auditor RN/LPN telecommuter

Healthfirst - 628 reviews - New York, NY
Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York....

Utilization Review Nurse

Fidelis Care - 167 reviews - Albany, NY  +1 location
Previous Utilization Review or Managed Care experience preferred. NYS RN Licensure required. The Utilization Management (UM) Clinician performs clinical reviews...
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Utilization Review Nurse-RN

Care Staff Health - Rochester, NY
$23 - $30 an hour
Care Staff is currently seeking caring and compassionate RN's to join our team of nursing professionals to work as Concurrent Review Nurses/Utilization Review...

Case Manager II

healthsouth - 348 reviews - York, PA
1850 Normandie Drive, York 17408. The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment...

Workers Compensation Telephonic Nurse Case Manager

Patriot National - 3 reviews - Fort Lauderdale, FL
Adheres to the utilization review process. Patriot Risk Services is actively seeking to hire an experienced RN with Telephonic Workers Compensation Case...

Senior Utilization Review Nurse

Corrections and Community Supervision, Department... - Albany, NY
$28.02 - $35.58 an hour
In addition, you must have 2 years of post-RN licensure nursing experience of which 1 year was dedicated to utilization review and/or discharge planning...

Appeals RN

Northwell Health - 346 reviews - Manhasset, NY
Reviews and coordinates utilization issues concurrently and retrospectively related to potential denials from managed care and third party reviewers....
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 Nurse
Fidelis Care - 167 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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