RN Utilization Review York jobs

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Behavioral Health Clinical Supervisor
WILLCARE - Newburgh, NY
ensure appropriate utilization of services and the assignment of service codes. Review the patient's plan... review of evaluation packets, OASIS and 485s. Review...
Sponsored by WILLCARE - 5 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

Unit Manager, Case Management

York Risk Services Group Inc. - Cross Lanes, WV
of execution, growth and process to the Managed Care program through the triage review of injuries, utilization review, facilitation of return to work...
1 day ago - save job - block - email - more...

Case Manager - Cypress CA

WellCare 77 reviews - Cypress, CA - +2 locations
provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare....
8 days ago - save job - block - email - more...

RN - CM/UM

Universal American (UAM) - Dallas, TX
Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide...
3 days ago - save job - block - email - more...

Telephonic Case Manager - Office based in Kingston NY

UnitedHealth Group 1,430 reviews - Kingston, NY - +1 location
Must reside in New York and have NY RN License. Making outbound calls to assess members' current health status. Identifying gaps or barriers in treatment plans....
2 days ago - save job - block - email - more...

Medical Review RN Clinical Analyst

HP 2,603 reviews - Hingham, MA
of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.The DME MAC Medical Review...
8 days ago - save job - block - email - more...

Manager, Quality Improvement (RN), Tampa, FL - Rocky Point

WellCare 77 reviews - Rocky Point, FL
Manager, Quality Improvement (RN), Tampa, FL - Rocky Point. Care Health Plans, Inc. provides managed care services targeted to government-sponsored health care...
11 days ago - save job - block - email - more...

RN Case Manager - Transitional Care

Universal American (UAM) - Houston, TX - +1 location
Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide...
6 days ago - save job - block - email - more...

Registered Nurse (RN) - Embedded Case Manager

Aetna 333 reviews - New York, NY 10018 (Clinton area)
This role will strive to positively influence the practices overall patient health outcomes through achieving favorable patient outcomes measured by clinical...
1 hour ago - save job - block - email - more...

RN or LPN Appeals and Grievance Clinical Specialist

Healthfirst 66 reviews - United States - +1 location
The Appeals & Grievances Clinical Specialist is responsible for receiving, investigating and responding verbally and in writing to member and provider appeals...
6 days ago - save job - block - email - more...

Care Management Representative

Saratoga Hospital 26 reviews - Saratoga Springs, NY
The Care Manager in the Emergency Department is responsible for providing care coordination, comprehensive discharge planning, daily rounding with...
2 days ago - save job - block - email - more...
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