Utilization Review Nurse jobs in New York, NY

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RN Case Management
Winthrop-University Hospital 91 reviews - Mineola, NY
Current New York State licensed Registered Nurse. Certification from the NYS Department of Health as a Patient Review Instrument (PRI) Assessor preferred....
Sponsored by Winthrop-University Hospital - 30+ days ago
Care Manager, Registered Nurse
North Shore-LIJ Health System 108 reviews - Great Neck, NY
Travels to various hospitals and provider facilities to conduct on-site utilization reviews and provider orientation/education....
Sponsored by North Shore-LIJ Health System - 1 day ago
Care Manager. RN - L II
New York City Health and Hospitals Corporation 17 reviews - Elmhurst, NY
Licensed and currently registered to practice as a professional nurse in New York State; For all levels, New York State licensure and registration as a...
Sponsored by New York City Health and Hospitals Corporation - 4 days ago

Associate Medical Records Specialist

New York City Health and Hospitals Corporation 17 reviews - Harlem, NY
Extensively review all physician and other clinical documentation, lab results, diagnostic information, treatment plans to capture appropriate information on...

NY FIDA - Manager Utilization Management

Aetna 450 reviews - New York, NY
Healthcare Management/Certified Utilization Review (CPUR) is desired. Functional - Clinical / Medical/Concurrent review / discharge planning/4-6 Years....

Registered Nurse

Sono Bello 12 reviews - Harrison, NY
RN is responsible to review two random charts per month per QA/QI peer review protocol. There will be two (2) random peer case reviews performed monthly per...

Spclst QM (RN)

North Shore-LIJ Health System 108 reviews - New York, NY
Sets-up and facilitates case review meetings; Current license to practice as a Registered Professional Nurse in New York State....

UR Services Nurse

York Risk Services Group Inc. - Parsippany, NJ
Experience in utilization review/health care industry helpful. Ensure that turnaround times are met with a quality review....

Performance Improvement Coordinator

VillageCare 6 reviews - Manhattan, NY
Current New York Licensed Registered Nurse. Conduct peer audits, focus reviews analyzes results. Coordinate preparation, participation & summary of meetings...

Registered Nurse (RN)- NY FIDA Clinical Care Manager

Aetna 450 reviews - Harlem, 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....

Medical management nurse

Beth Abraham Family of Health Services - Bronx, NY
Minimum of 2-3 years of experience in prior authorization or utilization review. Considers the unique needs of individual members and the capacity of the...

Utilization Review

Anthem, Inc. 542 reviews - Iselin, NJ
Utilization Review - Nurse Medical Management I or II Iselin, NJ 101874. Prior Utilization Review experience required. Nurse Medical Management I:....

Senior Clinical Practice Consultant - Telecommuter - New Yor...

UnitedHealth Group 1,880 reviews - New York, NY
RN, Registered Nurse, Nurse, practice, private practice, clinical practice consultant,performance improvement, Analyze, strategies,operational, NY, New York,...
Registered Nurse (RN) - Case Manager
Centra Healthcare Solutions 3 reviews - Mineola, NY
Ensures maximization of provider reimbursement of patient days through timely and accurate insurance reviews....
Sponsored by Centra Healthcare Solutions - 2 days ago
Registered Nurse Program Director
Project Hospitality - Staten Island, NY
Evaluations, competency reviews and credentialing will be completed in a timely manner. Ensure an ongoing quality assurance plan for utilization review,...
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Sponsored by Project Hospitality - 11 days ago

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Company with Utilization Review Nurse jobs
91 reviews
Winthrop-University Hospital provides high quality health care services to the residents of Nassau County and contiguous county areas.