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Utilization Review Nurse jobs in New York, NY

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Utilization Management Nurse
ArchCare - New York, NY
Inpatient admission review. The Utilization Review Nurse at any time may have to assume the responsibilities of covering the Inpatient Services, Outpatient...
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FVC Vascular Access RN-Per Diem-Brooklyn, NY
Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines...
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Vice President, Medical Management
Operations of Care Coordination and Utilization Management departments. Reviews and implements medical and clinical protocols....
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Utilization Review Nurse

Oscar Insurance - 8 reviews - New York, NY 10012 (Little Italy area)
Utilization Review Nurse. As a Utilization Review Nurse, you will determine the medical appropriateness of inpatient and outpatient services by reviewing...

Case Management-Utilization Review Nurse Consultant

Alvarez & Marsal - 14 reviews - New York, NY 10022 (Midtown area)
Registered Nurse, licensed (unrestricted) in New York State. The Case Manager - Registered Nurse completes appropriate level of care assessments, continued stay...

Utilization Management Nurse

Independence Care System (ICS) - New York, NY
Certification in Utilization Review a plus. The Utilization Review Nurse is responsible for monitoring utilization of ICS’ covered services to ensure that...
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Medical Director

Insurance Fund, State - New York, NY
$200,000 - $250,000 a year
Participates in nurse case management review; Manages utilization review decisions when questions arise; Attends case review round tables;...

Clinical Team Manager

Magellan Health - 52 reviews - Brooklyn, NY 11201
Performs care management review activities consistent with Magellan policies, procedures, and standards. Analyzes specific utilization problems, plans and...

Disability/Worker's Comp Nurse Case ManagerI

Horizon Blue Cross Blue Shield of New Jersey - 288 reviews - Newark, NJ
Authorizes inpatient and outpatient services, and reviews bills for appropriateness utilizing HCS guidelines....

Telephonic Case Manager - North New Jersey Area - Work at Ho...

UnitedHealth Group - 3,951 reviews - Jersey City, NJ 07306 (Journal Square area)
Experience in utilization review, concurrent review and/or risk management. Registered Nurse, RN, case manager, case management, managed care, telephonic,...

RN II - Primary Nurse Care

Horizon Blue Cross Blue Shield of New Jersey - 288 reviews - Newark, NJ
Requires an active New Jersey Registered Nurse License. Presents clinical cases during audits conducted by external review organizations....

RN-Nurse Review

Auto Injury Solutions - 18 reviews - Iselin, NJ
Insurance/provider billing or utilization review background is preferred. (1) Bill Review Solutions, which involve the review of first party medical claims, (2)...
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Staff Nurse,

NYC Health + Hospitals - 11 reviews - New York, NY
Liaison with third party reimbursers and Utilization Review agents. Participates in special studies relating to Utilization Review Management and Quality...
RN Utilization Review - Nurse Medical Management I or II Ise...
Utilization Review - Nurse Medical Management I or II Iselin, NJ 120321. Prior Utilization Review experience required. Nurse Medical Management I:....
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FVC Vascular Access RN-Part Time-Queens, NY
Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines...
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Company with Utilization Review Nurse jobs
Anthem, Inc. is working to transform health care with trusted and caring solutions.
Utilization Review Nurse salaries in New York, NY

$87,707 per year

14.9% higher than national average

$66,442$115,776
Common

Estimated salary from 18 jobs