Utilization Review Nurse jobs in New York, NY

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Utilization Review Registered Nurse
Kelly Services 3,440 reviews - New York, NY
Telephonic case management or utilization review experience a plus. We are currently recruiting for an exciting contract opportunity as a Nurse Reviewer with...
Sponsored by Kelly Services
Utilization Review RN II
HealthCare Support Staffing 54 reviews - New York, NY
This is fast-paced utilization review. Are you an experienced Utilization Review RN– Registered Nurse in the New York , New York 10006 area looking for a new...
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Sponsored by HealthCare Support Staffing
Senior Clinical Practice Consultant - Telecommute - New York
UnitedHealth Group 2,120 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant, performance improvement, analyze, strategies, operational, New York, NY,...
Sponsored by UnitedHealth Group


City of New York 63 reviews - Brooklyn, NY
Participate in Quality Assurance and Utilization reviews; However, all candidates must have a valid New York State license as a Registered Nurse....

Utilization Management RN

Fidelis Care 84 reviews - New York, NY
Review professional publications; Effectively review medical records and make determinations. Review medical records to determine medical necessity based upon...
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Registered Nurse

Sono Bello - Lake Success, NY  +1 location
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...

Aso Nurse Practitionr-L II

New York City Health and Hospitals Corporation 19 reviews - New York, NY
Two years satisfactory experience as a Nurse Practitioner, or two years satisfactory experience as a Registered Professional Nurse, eighteen months of which...


Axelon Services Corporation 17 reviews - Brooklyn, NY
PRE AUTHORIZATION NURSE. Familiarity with Utilization management processes preferred. Applies program criteria to identify members for Care Management and...

Care Manager

WellCare 124 reviews - New York, NY
Required Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret...

Registered Nurse Utilization Review

Medical Staffing Network Care Management - New York, NY
Utilization review experience and guidelines required. Performs care management including hospital admission certification, continued stay review, discharge...

Staff Nurse - Case Management

New York City Health and Hospitals Corporation 19 reviews - New York, NY
Review and respond to insurance denials. Collects data in support of utilization management. Will collaborate with nurse clinician on a daily basis....

Care Manager (RN)

NYU Langone Medical Center 145 reviews - New York, NY
Registered Nurse License-NYS. Evaluates appropriate clinical resource utilization, and assesses patients for transitioning to the next appropriate level of care...

RN Manager

Tal Healthcare - Queens, NY  +1 location
Currently registered to practice as a Registered Nurse in New York State. Reviews and analyzes trends pertinent to delivery of nursing care services and...
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Intake Nurse (RN)
Execu | Search 44 reviews - Brooklyn, NY
NYS Registered Nurse (RN) license. Collaborating with the hospital’s ED case managers, discharge planning personnel, utilization review and insurance case...
Sponsored by Execu | Search
Registered Nurse (RN)
Execu | Search 44 reviews - New York, NY
Collaborate with the hospital's discharge planning personnel, utilization review department and insurance case managers to facilitate safe discharge....
Sponsored by Execu | Search

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