Utilization Review Nurse jobs in New York, NY

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Remote Case Manager RN - (Case Management Experience Require...
MedSolutions - Bergen County, NJ
unrestricted Registered Nurse licensure w/multi-state... Essential Responsibilities: • Performs utilization review activities for Post Acute Care requests and...
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Sponsored by MedSolutions - 3 days ago
RN Case Manager (Integrated Special Needs Plan)
Healthfirst 63 reviews - New York, NY
areas: utilization management, case management, clinical nursing in a nursing home, visiting nurse agency... Understanding of Utilization Review Guidelines (NYS...
Sponsored by Healthfirst - 6 days ago

Head Nurse

Health and Hospitals Corporation - Coney Island, NY
Assures proper utilization of supplies and equipment; orders supplies as needed. Participates and encourages staff participation in the review of current data... $68,378 a year
10 days ago - save job - block - email - more...

RN Case Manager NYSNA Union position

Response Companies - Bronx, NY
position will work in conjunction with the Utilization Review department of the hospital. This is a NYSNA... New York State Registered Nurse License and must have...
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17 hours ago - save job - block - email - more...

Clinical Documentation Specialist

JFK Medical Center 72 reviews - Edison, NJ 08820
will perform concurrent inpatient medical record reviews. This position interacts with physicians, Health... supports resource utilization, length of stay and...
New Jersey Hospital Association - 4 days ago - save job - block - email - more...


Mount Sinai Health System 315 reviews - New York, NY
SPECIALTY COORDINATORS, NURSE PRACTITIONERS - Pediatric Oncology/Hematology - The Nurse Practitioner will... of nursing research utilization and monitor and...
Nurse.com - 5 days ago - save job - block - email - more...

Nurse Case Manager-Bill Review

Auto Injury Solutions 11 reviews - Iselin, NJ
1) Bill Review Solutions, which involve the review of... include nurse case management, physician reviews, hospital audits, and other professional review services...
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6 days ago - save job - block - email - more...

Case Manager Registered Nurse

North Shore Long Island Jewish Health System 49 reviews - New York, NY - +4 locations
patients, physicians, nurses and social workers to... Nurse in New York State. PRI certification, preferred. Minimum of one (1) year utilization review...
13 hours ago - save job - block - email - more...

RN or LPN Appeals and Grievance Clinical Specialist

Healthfirst 63 reviews - New York, NY
Registered Nurse (RN). Licensed Practical Nurse (LPN... utilization review or utilization management/case management. Understanding of Utilization Review...
Nurse.com - 4 days ago - save job - block - email - more...


Kingsbrook Jewish Medical Center 38 reviews - Brooklyn, NY
REVIEW NURSE (RN) Progression of Care Team * Brooklyn, NY The RN Case Manager/Utilization Review Nurse is... Case Manager/Utilization Review Nurse would determine...
Nurse.com - 2 days ago - save job - block - email - more...

Clinical Case Manager

Beacon Health Strategies, LLC - Bronx, NY
as well as utilization review based on nationally recognized standards of care management and must be a licensed clinical social worker. Utilization review re...
4 days ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 320 reviews - New York, NY
review and discharge planning. The Onsite Nurse... Nursing/Registered Nurse (RN) is desired FUNCTIONAL EXPERIENCES Concurrent Review/discharge planning/1-3...
30+ days ago - save job - block - email - more...
Clinical Evaluation Manager
Visiting Nurse Service of New York 93 reviews - Manhattan, NY
and discharge planners in utilization tracking, care... progressive professional experience in utilization review and quality improvement in an acute or managed...
Sponsored by Visiting Nurse Service of New York - 4 days ago
Registered Nurse | RN | UR (Contract)
Favorite Healthcare Staffing 106 reviews - Forest Hills, NY
We need an Utilization Review Registered Nurse for a Contract order in Forest Hills, NY. Utilization review... stays. Utilization review nurses also help insureds...
Easily apply
Sponsored by Favorite Healthcare Staffing - 8 days ago
RN Clinical Documentation Specialist/Case Manager
ATC Healthcare Services 2 reviews - Newark, NJ
Planning and Utilization Review. Job type Temporary... Case Management, Discharge Planning and Utilization Review for the adult inpatient in a hospital setting...
Easily apply
Sponsored by ATC HEALTHCARE SERVICES - 30+ days ago

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Company with Utilization Review Nurse jobs
63 reviews
Healthfirst, one of the fastest growing health plans in New York & New Jersey, provides high-quality healthcare to over 900,000 members.
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