Utilization Review Nurse jobs in New York, NY

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Clinical Appeals RN - Telecommute from anywhere
UnitedHealth Group 2,053 reviews - New York, NY
Utilization Management, appeals, pre-authorization, or concurrent review experience. Review and interpret Plan language....
Sponsored by UnitedHealth Group
Utilization Management Nurse RN - Telecommuter from anywhere...
UnitedHealth Group 2,053 reviews - New York, NY
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by UnitedHealth Group
Clinical Quality Assurance Auditor RN
Healthfirst 102 reviews - New York, NY
The Clinical Quality Assurance Auditor, RN will review all clinical documentation submitted by the Assessment Nurses Reassessment Nurses / Intake Nurses to...
Sponsored by Healthfirst
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Care Manager

New York City Health and Hospitals Corporation 19 reviews - New York, NY
Conducts medical record reviews as appropriate to case management functions. Perform discharge planning, out-patient and ancillary service review, etc.,...

REGISTERED NURSE- UTILIZATION REVIEW (TEMP)

Mitchell/Martin 14 reviews - Bronx, NY
Must have some experience with Utilization Review, Case Management and Discharge Planning. Please email CV to Mandi mmargarin@hcmmi.com for review REF #HC....
Easily apply

Utilization Management Nurse

Affinity Health Plan 74 reviews - Bronx, NY
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...

Onsite Utilization Management Nurse RN - Manhattan, NY

UnitedHealth Group 2,053 reviews - New York, NY
RN, Registered Nurse, UR, UM, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...

Director of Utilization Management

New York City Health and Hospitals Corporation 19 reviews - New York, NY
Registered Nurse – NYS Licensed. Educates medical staff on issues related to utilization management; Conducts concurrent medical review reports in accordance...

(RN) Clinical Consultant – New York City/New Jersey Area

Cigna 925 reviews - New York, NY
Service utilization patterns. Providing consultative support to sales for identified non-standard process requests including recommendation for Exception Review...

Documentation Specialist

Lutheran Medical Center 78 reviews - Brooklyn, NY
Five years recent experience in adult medical/surgical acute care, utilization review, case management, or clinical documentation improvement....

Staff Nurse - Case Manager (Per-Diem) RE-POST

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....

Utilization Management Nurse

TalentHub Worldwide - Bronx, NY
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...
Easily apply

RN Case Manager, ISNP

Healthfirst 102 reviews - New York, NY
Understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), and InterQual and Medicare and Medicaid Guidelines....
Clinical Practice Consultant - Telecommuter - Northeast
UnitedHealth Group 2,053 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies, operational, New York, New...
Sponsored by UnitedHealth Group
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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Company with Utilization Review Nurse jobs
Healthfirst, one of the fastest growing health plans in New York & New Jersey, provides high-quality healthcare to over 900,000 members.