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Utilization Review Nurse
Fidelis Care - 170 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 Manager, Quality Assurance & Regulatory Oversight - MLTC
Fidelis Care - 170 reviews - Rego Park, NY 11374
RN:. NYS RN License. Communicate with RN assessors and contracted vendors inconsistencies and changes needed in the review....
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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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Utilization Review Nurse

Fidelis Care - 170 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...

Registered Nurse - Perlmutter Cancer Center Office Practice

NYU Langone Health - New York, NY  +1 location
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,...

Utilization Review/Clinical Documentation Improvement Specia...

State of New York - 28 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...

Care Manager - Registered Nurse (RN)

MetroPlus Health Plan - 62 reviews - New York, NY
$90,000 a year
Conducts medical record reviews as appropriate to case management functions. Perform discharge planning, out-patient and ancillary service review, etc.,...

Care Coordination Clinical Quality Nurse

Community Healthcare Network - 46 reviews - New York, NY
Utilization review activities, including review of member charts in the. Utilization of services; Clinical quality nurses are highly-skilled, licensed...

QUALITY IMPROVEMENT RN

MidHudson Valley Staffco, LLC - Poughkeepsie, NY
Responsibilities include analysis of data for trending and process improvement and utilization review. Current licensure in New York State as a Registered...

Registered Nurse- Perlmutter Cancer Center - Infusion (Rego...

NYU Langone Health - Rego Park, 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,...

Clinical Nurse Informaticist

NYU Langone Health - New York, NY
Engages in self-assessment and peer review; Current Registered Professional Nurse in New York. NYU Langone is one of the nation's premier academic medical...

Nurse Case Reviewer

MagnaCare - 31 reviews - Westbury, NY  +1 location
Provides and facilitates utilization review, continued stay reviews and utilization management of all cases based on clinical experience and recognized...
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RN-Clinical Documentation-St.Peter's Hospital-Fulltime Days

SPNY - St. Peter's Hospital - Albany, NY
Experience with criteria-based chart review, such as Case Management, Utilization Management, Managed care, Quality Improvement preferred....
Care Manager - Utilization Review (RN)
Execu | Search - 65 reviews - New York, NY
$87,000 - $90,000 a year
The Utilization Review Care Manager will:. A premier managed long-term care facility located in New York City is actively seeking a self-motivated and...
RN Supervisor, Utilization Management
Fidelis Care - 170 reviews - Buffalo, NY
Effectively manage individuals who perform Utilization Review. Effectively manage staff that provide Utilization Review services. NYS RN License required....
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