Utilization Review Nurse jobs in New York, NY

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Clinical Documentation Improvement Specialist (RN) - Montros...
Minimum of three (3) years experience in clinical care, utilization review, case management, health information or related field....
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RN Nurse Medical Mgmt Sr. - Team Lead - Inpatient Review Tea...
Anthem, Inc. - 2,429 reviews - New York, NY 10016
This Nurse Med. Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to...
Registered Nurse (RN) Non-Clinical Position
MSG Staffing, Inc - 8 reviews - Manhattan, NY
$80,000 a year
Perform various reviews such as Cost Ouliers, Day Outliers, Pre and Post payment utilization review, quality reviews, and review of outpatient claims....
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Utilization Management Nurse Consultant - 44077BR

Aetna - 2,593 reviews - New York, NY 10016 (Gramercy area)
Nursing/Registered Nurse is required. 1+ years of managed care/utilization review experience preferred. Click here to review the benefits associated with this...

RN Utilization Review (Remote)

R.A.M. Healthcare Consulting Group, Inc. - New York, NY
In this position, the utilization review nurse will:. Utilization review/case management:. A hospital client in New York is looking for a remote utilization...
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Utilization Management Nurse, Managed Long Term Care

Fidelis Care - 200 reviews - New York, NY
Utilization Management Nurse, Managed Long Term Care. Utilization Management experience required. The Utilization Management (UM) Clinician performs clinical...

Utilization Management Nurse

Affinity Health Plan - 156 reviews - Bronx, NY
Perform utilization management, utilization review, or concurrent review (on-site at a hospital, or telephonic inpatient care management) of hospitalized...

Case Manager RN

UnitedHealth Group - 9,475 reviews - New York, NY 10036
Experience in utilization review, concurrent review or risk management. Support members with condition education, medication reviews and connections to...

Medical Claims Review Nurse RN

UnitedHealth Group - 9,475 reviews - New York, NY 10261 (Murray Hill area)
Background involving utilization review for an insurance company or experience in case management. Perform clinical coverage review services, which require...

2017 Fall New Graduate RN Posting

NYU Langone Health - 313 reviews - New York, NY
Nurse Residency Program:. Engages in self-assessment and peer review; Current Registered Professional Nurse in New York....

Remote- Sr. Prior Authorization Nurse- Consultant

Alvarez & Marsal - 27 reviews - New York, NY 10022 (Midtown area)
Utilization Nurse Consultant:. The utilization review nurses responsibilities include, but are not limited to:....

Utilization Management Reviewer

NYC Health + Hospitals - 31 reviews - New York, NY
Knowlege of Internal, External Health Care Agencies and allied Review Organization/Medical Associations. Licensed and currently registered or otherwise duly...

Telephonic RN Case Manager

UnitedHealth Group - 9,475 reviews - Jersey City, NJ 07306 (Journal Square area)   +1 location
Experience in utilization review, concurrent review and/or risk management. 3+ years of experience as a Registered Nurse in a hospital setting, acute care,...
Care Manager
White Plains Hospital - 84 reviews - White Plains, NY
Registered Nurse (RN) NYS license required. Expedites throughput of the complex patient, to meet overall LOS target, quality and resource utilization goals....
Documentation Specialist
Five years recent experience in adult medical/surgical acute care, utilization review, case management, or clinical documentation improvement....