Utilization Review RN jobs in New York, NY

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2017 New Graduate RN Positions
(Include utilization of EHR education tools). *This position is for 2017 Spring RN Graduates with at least a 3.5 GPA**....
Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Three to five years of Utilization Review Experience. Requirements of the Director of Quality Review - RN:....
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Care/Case Manager (RN), Day Shift
Coordinates the collection of medical record documentation for review by the review agent (i.e., IPRO, managed care carrier)....

UM Clinical Consultant

Aetna - 2,289 reviews - New York, NY 10016 (Gramercy area)
RN with unrestricted New York license is required. Click here to review the benefits associated with this position....

Health Home Transformation Consultant Telecommute

UnitedHealth Group - 5,566 reviews - New York, NY 10036
4+ combined experience with improving clinical quality, health care analytics, or driving clinical transformation initiatives with population health programs or...

2017 New Graduate RN Positions

NYU Langone Health - 262 reviews - New York, NY
(Include utilization of EHR education tools). *This position is for 2017 Spring RN Graduates with at least a 3.5 GPA**....

2017 New Graduate RN Positions

NYU Langone Hospitals - 262 reviews - New York, NY
(Include utilization of EHR education tools). *This position is for 2017 Spring RN Graduates with at least a 3.5 GPA**....

Telephonic RN Case Manager

UnitedHealth Group - 5,566 reviews - Rutherford, NJ  +2 locations
Experience in utilization review, concurrent review and/or risk management. Current, unrestricted RN license in New Jersey....

Care Manager, Long Term Care - RN - Telecommuter

Healthfirst - 641 reviews - New York, NY
Assesses member's physical, psychosocial and discharge planning needs through communication with appropriate hospital staff including attending practitioner,...

Pre- Certification Nurse- Medicare

VillageCare - 13 reviews - Manhattan, NY
Current LPN or RN NYS license and registration is required. Acts as a resource liaison for Care Management staff in review process....

MLTC Clinical Quality Improvement Specialist

MetroPlus Health Plan - 62 reviews - New York, NY
$90,000 a year
Communicate with RN assessors and contracted vendors inconsistencies and changes needed in the review. Experience in medical records review, utilization and...

Field Service Coordinator - RN

WellCare - 681 reviews - New York, NY 10004 (Financial District area)
Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret treatment plans Ability to create,...

Care Manager - Registered Nurse (RN)

MetroPlus Health Plan - 62 reviews - New York, NY
$90,000 a year
Conducts medical record reviews as appropriate to case management functions. Perform discharge planning, out-patient and ancillary service review, etc.,...
Safety and Quality Coordinator - Psychiatry Administration -...
Assurance and utilization review programs in accordance with the mission and. Maintains, reviews and updates all specialty. Mount Sinai Health....
Nurse Auditor - RN
MJ Morgan Group - 10 reviews - New York, NY
Perform various reviews such as Cost Outliers, Day Outliers, Pre and Post payment Utilization review, Quality Reviews, and review of outpatient claims....
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