Utilization Review Nurse jobs in New York, NY

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Utilization Review Nurse (RN)
Execu | Search - 61 reviews - New York, NY
$78,000 - $95,000 a year
The Utilization Review Nurse (RN) will:. As a Utilization Review Nurse, the qualified candidate will conduct initial assessments of medical necessity for...
Nurse
Monte Nido & Affiliates - Briarcliff Manor, NY 10510
Depending on qualifications and experience, additional responsibilities may include insurance utilization reviews or other tasks as assigned....
Nursing Home Surveyor / Complaint Investigator (RN)
Execu | Search - 61 reviews - New York, NY
2+ years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities;...

Care Manager-RN

MetroPlus Health Plan - 49 reviews - New York, NY
$90,000 a year
Performs care management including hospital admission certification, continued stay review, discharge planning, out-patient and ancillary services review, etc.,...

RN CARE MANAGER

Premier Home Health Care - 79 reviews - New York, NY
Our latest innovation is providing risk-share Clinical Case Management and Utilization review services to health plans....
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RN Nurse Medical Mgmt Lead (MLTC) - New York, NY - 125077

Anthem, Inc. - 1,879 reviews - New York, NY 10001 (Chelsea area)
The Nurse Medical Mgmt. Certification in the American Association of Managed Care Nurses preferred. Conducts precertification, continued stay review, care...

Registered Nurse - NICU

NYU Langone Medical Center - 200 reviews - New York, NY
(Include utilization of EHR education tools). Current Registered Professional Nurse in New York.Education:. We have an exciting opportunity to join our team as...

Registered Nurse - Labor and Delivery

NYU Langone Medical Center - 200 reviews - New York, NY
Registered Nurse License-NYS. Engages in self-assessment and peer review; Current Registered Professional Nurse in New York....

MDS Coordinator / RN Assessor

Carerite Centers - New York, NY 10024 (Upper West Side area)  +1 location
Responsible for timely and accurate completion of Utilization Review and Triple Check. Registered Nurse with current, active license in state of practice....

Pre- Certification Nurse- Medicare

VillageCare - 10 reviews - Manhattan, NY
VillageCare MAX is seeking a Pre-Certification Nurse to review all requests for service, except for Personal Care Aide (PCA) services, track requests and...

Health & Wellness Advisor II

MetroPlus Health Plan - 49 reviews - Manhattan, NY  +1 location
$63,050 - $86,302 a year
Identifies service utilization trends and potential member needs by means of reviewing encounter data, pharmacy/prescription data, and the review of member...

RN Utilization Management Nurse

Centers Plan For Healthy Living - 11 reviews - Staten Island, NY 10304
Utilization Management Registered Nurse. Provides utilization review for preauthorization, concurrent and discharge reviews and post service review....

UM Team Leader

MetroPlus Health Plan - 49 reviews - New York, NY
$100,000 - $104,580 a year
Monitor utilization review activities and outcomes. Support Member Care Management and utilization review activities in conjunction with Case Management...
Director of Quality Assurance (RN)
Execu | Search - 61 reviews - New York, NY
$90,000 - $125,000 a year
3+ years of Utilization Review experience; NYS Registered Nurse (RN) license. A healthcare company in New York City is actively seeking a licensed Registered...
Utilization Review Lead Nurse (RN)
Execu | Search - 61 reviews - New York, NY
$100,000 - $150,000 a year
The Utilization Review Lead Nurse (RN) will:. Review the quality and volume of nurse reviews and provider interactions....

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