Utilization Review Nurse jobs in New York, NY

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Clinical Evaluation Manager RN ( Case Management )
Visiting Nurse Service of New York 111 reviews - Manhattan, NY
Minimum of two years¿ experience in utilization review with strong cost containment/case management preferred. Visiting Nurse Service of New York (VNSNY) is the...
Sponsored by Visiting Nurse Service of New York - 4 days ago
Utilization Management Case Manager (RN)
Execu | Search 38 reviews - Brooklyn, NY
NYS Registered Nurse (RN) license. The Utilization Management Case Manager (RN) will:. Under the direction of the Director of Clinical Operations and in...
Sponsored by Execu | Search - 1 day ago
Grievance & Appeal Spec RN
Visiting Nurse Service of New York 111 reviews - Manhattan, NY
Visiting Nurse Service of New York (VNSNY) is the nation’s largest not-for-profit community-based health system....
Sponsored by Visiting Nurse Service of New York - 26 days ago

Patient Utilization Registered Nurse

Beth Israel Medical Center 377 reviews - Manhattan, NY
Patient Utilization Review Nurse. Patient Utilization Registered Nurse. Patient Utilization Review Nurses will also ensure that patients receive optimal and...
Mount Sinai Health System - 1 day ago - save job - email - more...

Care Manager. RN - L I 00017948

New York City Health and Hospitals Corporation 15 reviews - New York, NY
$69,081 - $71,000 a year
Two years of experience as a registered nurse. Reviews plan of care, discusses estimated length of stay, need for continued hospitalization, continued...
1 day ago - save job - email - more...

Head Nurse - Medicine/Surgery

New York City Health and Hospitals Corporation 15 reviews - New York, NY
$69,753 a year
Assures proper utilization of supplies and equipment; One year of experience as a Professional Nurse; Performs the duties described in the generic Head Nurse...
6 days ago - save job - email - more...

Risk Adjustment HCC Clinical Coding Reviewer

ArchCare - New York, NY
Advises manager of possible trends in inappropriate utilization (under and/over) of the HCC process. The HCC Clinical Coding Reviewer will spend 95% of their...
19 days ago - save job - email - more...

Registered Nurse (RN)- NY FIDA Clinical Care Manager

Aetna 422 reviews - New York, NY - +1 location
Registered Nurse is required. Registered Nurse (RN) with unrestricted NY license is required. Click here to review the benefits associated with this position....
2 days ago - save job - email - more...

Patient Utilization Registered Nurse

Mount Sinai Health System 377 reviews - New York, NY
Patient Utilization Review Nurses will also ensure that patients receive optimal and preventive care across multiple health settings and multiple physicians...
Nurse.com - 10 days ago - save job - email - more...

Nurse Audit Sr- 98745

Anthem, Inc. 513 reviews - New York, NY 10259 (Midtown area)
Responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment...
16 days ago - save job - email - more...

Behavioral Health Advocate - New York

UnitedHealth Group 1,739 reviews - New York, NY
Nurse, Clinical, RN, LCSW, Social Worker, LMFT, Psychologist, Therapist, Counselor, behavioral health, mental health, Case Management, Utilization Review,...
4 days ago - save job - email - more...

Utilization Review Case Manager / RN

MedSolutions - Jamaica, NY - +1 location
Performs utilization review activities for Post Acute Care requests and contacts providers where additional information is necessary to make a decision....
Easily apply
21 days ago - save job - email - more...

Case Manager

New York City Health and Hospitals Corporation 15 reviews - New York, NY
$52,762 - $90,000 a year
Performs global utilization including hospital admission certification, continued stay review, discharge planning, out-patient and ancillary service review, etc...
2 days ago - save job - email - more...
Risk Adjustment HCC Clinical Coding Reviewer
ArchCare - New York, NY
Advises manager of possible trends in inappropriate utilization (under and/over) of the HCC process. The HCC Clinical Coding Reviewer will spend 95% of their...
Sponsored by ArchCare - 19 days ago
Utilization Review Case Manager / RN
MedSolutions - Jamaica, NY
Performs utilization review activities for Post Acute Care requests and contacts providers where additional information is necessary to make a decision....
Easily apply
Sponsored by MedSolutions - 21 days ago

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