RN Utilization Review York $60,000 jobs

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Outpatient Nurse Care - LPN/RN - Office Setting (Tampa, FL)-...
IBM 4,132 reviews - Tampa, FL
in utilization management to include pre-authorization, utilization review, concurrent review, discharge planning, and/or skilled nursing facility reviews. Care...
Sponsored by Nurse.com - 27 days ago
NYC CONTRACT-TO-HIRE RN Medical Management Educator / Traine...
CareNational Healthcare Services, LLC - New York, NY
CONTRACT-TO-HIRE RN Medical Management Educator / Trainer – Managed Care New York, NY (Bronx... This... Managers, Utilization Review & Prior Authorizations... $85,000 - $90,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

Medical Review RN Clinical Analyst

HP 2,598 reviews - Hingham, MA
of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.The DME MAC Medical Review...
6 days ago - save job - block - email - more...

Insurance Assessment & Utilization Review Manager

Phoenix House 65 reviews - Long Island City, NY
Insurance Assessment & Utilization Review Manager. Skilled at delving into medical/insurance vernacular?. If this is describes You-- Phoenix House has a unique...
Easily apply
30+ days ago - save job - block - email - more...

Utilization Management - Review Nurse

Fidelis Care New York 59 reviews - Buffalo, NY
The Review Nurse (UM) performs clinical reviews to assess medical necessity of a broad range of outpatient and inpatient services, while maintaining compliance...
Nurse.com - 4 days ago - save job - block - email - more...

Case Manager - telephonic - Rocky Point, Tampa, FL

WellCare 76 reviews - Rocky Point, FL
provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare....
6 days ago - save job - block - email - more...

Registered Nurse (RN) - Health Care QM Manager

Aetna 332 reviews - New York, NY 10027 (Hamilton Heights area)
This is full time position based out of New York. Candidates that have experience with Managed Long Term Care (MLTC) and home health are highly preferred....
15 days ago - save job - block - email - more...

Mgr, Field Health Services, Registered Nurse Required

WellCare 76 reviews - Chicago, IL
provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare....
5 days ago - save job - block - email - more...

Case Manager

Health and Hospitals Corporation - New York
Performs telephonic case management activities, including care coordination, health education, planning for transition of care, out-patient follow-up and... $58,127 - $76,000 a year
17 hours ago - save job - block - email - more...

Registered Nurse (RN) - Embedded Case Manager

Aetna 332 reviews - New York, NY
This role will strive to positively influence the practices overall patient health outcomes through achieving favorable patient outcomes measured by clinical...
2 days ago - save job - block - email - more...

Registered Nurse - PD I

Unity Health System 40 reviews - Rochester, NY
ACM Medical Laboratory is a world leader of patient and clinical trials testing, with locations in western New York, York, England, and India, and lab...
7 days ago - save job - block - email - more...

Clinical Pharmacy Coordinator

North Shore Long Island Jewish Health System 50 reviews - Syosset, NY - +1 location
Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy, and...
6 days ago - save job - block - email - more...
Registered Nurse (RN)
Execu | Search 32 reviews - Manhattan, NY
approach with utilization review and case management... Utilization Review, or Disease Management experience High School Diploma or GED NYS Registered Nurse (RN...
Sponsored by Execu | Search - 16 days ago
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