Utilization Review Nurse jobs in New York, NY

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Grievance and Appeal Specialist
Visiting Nurse Service of New York 156 reviews - Manhattan, NY
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
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Clinical Evaluation Manager (RN) - Utilization Management
Execu | Search 50 reviews - New York, NY
3+ years of Utilization Review experience at a Managed Care Organization or Health Plan. NYS Registered Nurse (RN) license....
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Transitional Care Manager (RN)
Execu | Search 50 reviews - Manhattan, NY
Utilization and/or Concurrent Review experience within an Acute Care facility. NYS Registered Nurse (RN) license....
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Utilization Nurse Consultant

Alvarez & Marsal 12 reviews - New York, NY
Perform utilization management, utilization review or concurrent review (inpatient care management). The Utilization Management Nurse is responsible for...

Utilization Review 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...

Utilization Review Specialist

Brightpoint Health 3 reviews - Bronx, NY 10461 (Parkchester area)
Utilization Review Specialist REPORTS TO:. The Utilization Review Specialist will participate in Quality Reviews and Site certifications to meet regulatory...

Clinical Care Manager

Aetna 625 reviews - New York, NY 10016 (Gramercy area)
Nursing/Registered Nurse is desired. Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years....

Utilization Management Nurse

Affinity Health Plan 91 reviews - Bronx, NY 10461 (Parkchester area)
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...

Care Manager. RN - L II

NYC Health + Hospitals 3 reviews - New York, NY
$87,384 a year
Resource utilization for optimal, cost-effective care. Licensed and currently registered to practice as a professional nurse in New York State;...

Utilization Review Nurse

Axion Healthcare LLC. 33 reviews - Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Managed Care, & Utilization Review experience*. Current license to practice as a Registered Professional Nurse in New York State required....
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MEDICAL MANAGEMENT NURSE

Beth Abraham Family of Health Services 2 reviews - Bronx, NY
Minimum of 2-3 years of experience in Prior Authorization or Utilization Review; Presents cases to Medical Director for review and determination....

MDS Coordinator / RN Assessor

Carerite Centers - New York, NY 10024 (Upper West Side area)  +2 locations
Responsible for timely and accurate completion of Utilization Review and Triple Check. Registered Nurse with current, active license in state of practice....

Manager Utilization Management - New York

UnitedHealth Group 2,443 reviews - New York, NY 10036 (Clinton area)
Understanding utilization review process including census management. Manage a team size of approximately 18 nurses....
Care Manager (RN)
Execu | Search 50 reviews - Manhattan, NY
Utilization and/or Concurrent Review experience with an Acute Care facility. NYS Registered Nurse (RN) license....
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Nurse Case Manager (Utilization Management)
RCM Health Care Services 3 reviews - Manhattan, NY
$90,000 a year
A minimum of two years of experience in utilization management and /or utilization review. Performs utilization and case management, including inpatient, rehab,...
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