RN Utilization Review York $40,000 jobs

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Behavioral Health Care Manager, Virginia or New York 105945
Anthem, Inc. 599 reviews - Norfolk, VA
Previous experiences in case management/utilization review preferred. Current unrestricted license as an RN, LCSW, LPC (as allowed by applicable state laws),...
Sponsored by Anthem, Inc.
RN Coder/ Nurse Auditor - Remote Position
- Georgia
Medical Review Nurse-Coder. Conduct medical chart reviews. Active unrestricted RN license in good standing....
Sponsored by NurseCareerBoard.com
Case Manager - Registered Nurse (RN)
North Shore-LIJ Health System 121 reviews - Manhasset, NY
Reviews patient's chart. Performs concurrent utilization management using Interqual criteria. Communicates with insurance companies and physicians regarding...
Sponsored by North Shore-LIJ Health System

(RN) Clinical Consultant – New York City/New Jersey Area

Cigna 925 reviews - New York, NY
Service utilization patterns. United States-New York-New York. Providing consultative support to sales for identified non-standard process requests including...

Manager I / II Behavioral Health Care Mgmt

Anthem, Inc. 599 reviews - Wallingford, CT
Current unrestricted LCSW, LMHC, LPC, or RN license in State of New York required. Participates in developing criteria used in performing medical necessity...

Utilization Management Nurse

Affinity Health Plan 74 reviews - Bronx, NY
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...

Medical Review Nurse Analyst

HP 3,896 reviews - Biddeford, ME
Utilization review background a plus. Medical Review Nurse Analyst. Active Maine RN License Required. The DME MAC Medical Review Clinician will assist in...

RN Case Manager

Phelps Memorial Hospital Center 15 reviews - Sleepy Hollow, NY
RN Case Manager. Perform concurrent utilization management, conduct review for appropriateness of admission and continued stay....

RN Case Manager, ISNP

Healthfirst 102 reviews - New York, NY
NYS RN license and registration. Understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), and InterQual and Medicare and Medicaid Guidelines....

Utilization Management Nurse

TalentHub Worldwide - Bronx, NY
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...
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Case Manager/RN

CVPH Medical Center 17 reviews - Plattsburgh, NY
Utilization review and discharge planning experience preferred. Current New York State R.N. Establishes daily work list for insurance reviews....

Care Manager

South Nassau Communities Hospital 63 reviews - Oceanside, NY
2-3 years of case management, utilization reviews or discharge planning experience highly preferred. Licensed and currently registered or otherwise duly...

Manager of Utilization Management

Healthfirst 102 reviews - United States
Pre-certification, concurrent review, discharge planning, and referrals. Oversees the provision of Utilization Management functions which include:....
Registered Nurse- Case Manager
North Shore-LIJ Health System 121 reviews - Manhasset, NY
Reviews patient's chart. Performs concurrent utilization management using Interqual criteria. Communicates with insurance companies and physicians regarding...
Sponsored by North Shore-LIJ Health System
Utilization Review RN
Healthcare Support Staffing 54 reviews - New York, NY
Are you an experienced utilization review RN in New York, NY area looking for a new opportunity with a prestigious healthcare company?...
Sponsored by HealthCare Support Staffing

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Company with RN Utilization Review York $40,000 jobs
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.