Utilization Review Nurse jobs in New York, NY

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Care Manager RN
Access Nursing Services 4 reviews - New York, NY
Registered Nurse with current NYS license. Minimum three (3) years of experience in care/case management, disease management and/ or population management,...
Sponsored by Access Nursing Services - 3 days ago
Care Coordinator - Bone Marrow Transplant - Part Time
NewYork-Presbyterian/Columbia University Medical Center 213 reviews - New York, NY
We are seeking a strong patient advocate and clinical thinker with three or more years of bone marrow transplant or oncology experience, and two or more years...
Sponsored by NewYork-Presbyterian Hospital - 16 days ago

Clinical Reviewer

EmblemHealth 51 reviews - New York, NY
Performs retrospective utilization review. Performs utilization review associated with a clinical appeal. Performs clinical review of clinical cases to include...
3 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management (UM) Clinical...

Aetna 381 reviews - New York, NY 10027 (Hamilton Heights area)
Managed care/utilization review experience. Nursing/Registered Nurse (RN) is required. Managed Care/Certified Managed Care Nurse, CMCN is desired....
17 days ago - save job - email - more...

RN Clinical Consultant - NY/NJ

CIGNA 747 reviews - New York, NY
Service utilization patterns. Providing consultative support to sales for identified non-standard process requests including recommendation for Exception Review...
11 days ago - save job - email - more...

Clinical Practice Consultant - Telecommuter - Northeast

UnitedHealth Group 1,629 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies, operational, New York, New...
2 days ago - save job - email - more...

RN Supervisor, Interdisciplinary Care

EmblemHealth 51 reviews - New York, NY
Provides clinical supervision and support and conducts performance reviews in accordance with Emblem. Registered Nurse with a minimum of five to eight years...
3 days ago - save job - email - more...

National Nurse Review

Auto Injury Solutions 11 reviews - Iselin, NJ
Perform utilization review in accordance with AIS structure. (1) Bill Review Solutions, which involve the review of first party medical claims, (2) Medical...
Easily apply
4 days ago - save job - email - more...

Case Manager, Registered Nurse, Per Diem

North Shore-LIJ Health System 56 reviews - Forest Hills, NY - +1 location
Performs concurrent utilization management. Patient Review Instruments (PRI) Certification, preferred. Prior experience in utilization management and/or...
7 days ago - save job - email - more...

CARE MANAGER (UM - FIDA)

Value Options 79 reviews - Manhattan, NY
Social Work, Marital and Family Therapy or Registered Nurse. Provide comprehensive evaluation and treatment planning by providing initial, concurrent reviews...
3 days ago - save job - email - more...

Senior Clinical Practice Consultant -Telecommuter- Northeast

UnitedHealth Group 1,629 reviews - New York, NY - +1 location
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies,operational, Northeast, NJ,...
2 days ago - save job - email - more...

Grievance & Appeal Specialist

Visiting Nurse Service of New York 104 reviews - Manhattan, NY
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
17 days ago - save job - email - more...
Clinical Practice Consultant - Telecommuter - New York
UnitedHealth Group 1,629 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies,operational, NY, New York,...
Sponsored by UnitedHealth Group - 21 hours ago
PATIENT UTILIZATION REVIEW NURSE
Mount Sinai Health System 357 reviews - New York, NY
Description purn Category: Risk Mgmt/UR...
Sponsored by Nurse.com - 4 days ago
Utilization Review Nurse
Tact Medical Staffing 8 reviews - New York, NY
Utilization Review Nurses in NYC! Excellent Salary - Permanent Position - Medical Benefits The nurses will perform retro review on hospital admissions as well...
Sponsored by Nurse.com - 7 days ago

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Company with Utilization Review Nurse jobs
4 reviews
ACCESS Nursing Services provides comprehensive care to patients and essential staff to healthcare organizations throughout the country.