Utilization Review RN jobs in New York, NY

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Utilization Review Nurse (RN)
Execu | Search - 58 reviews - New York, NY
Reporting to the Senior Director of Utilization Review, the Utilization Review Nurse (RN) will be responsible for completing timely utilization review for a...
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Care Coordinator (RN)
Execu | Search - 58 reviews - New York, NY
Conduct Utilization Management determinations in accordance with Article 49- Utilization Review. Demonstrated knowledge of Article 49- Utilization Review...
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Telephonic Case Manager - New Jersey - Telecommute
Experience in utilization review, concurrent review and/or risk management. Current, unrestricted RN license in New Jersey....
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Utilization Review RN - NYC

All's Well - 15 reviews - New York, NY
$80,000 - $93,000 a year
This is a permanent opportunity for a Utilization Review RN in NYC/Lower Manhattan; Required to have a clear/active RN License (NY RN License assistance...

Clinical Care Manager

Aetna - 1,667 reviews - New York, NY 10001 (Chelsea area)
Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs....

Quality Assurance Performance Improvement Specialist - RN

The Lighthouse Guild - New York, NY 10023 (Upper West Side area)
Reporting to the QAPI Supervisor, the NYS Licensed RN we seek will oversee the collection, aggregation, analysis and reporting of relevant clinical and...
Easily apply

Registered Nurse (RN) Case Manager

Medix - 53 reviews - New York, NY
RN Case Manager. Reviews, screens and prioritizes cases. Performs prospective, concurrent and retrospective reviews of services/claims....

RN Manager

Community Healthcare Network - 31 reviews - New York, NY
Our RN Managers assist the clinic clients in addressing health problems; Our RN Managers maintain a smooth patient flow in the area under his/her supervision....

Nurse Clinical Coordinator - 096 - Social Work

Mount Sinai Health System - 584 reviews - New York, NY 10019 (Midtown area)
Health care utilization. Years or greater of RN experience preferred. Participates in clinical case reviews within the Care Coordination Center....

Utilization Review Nurse

Oscar Insurance - 10 reviews - New York, NY 10012 (Little Italy area)
Utilization Review Nurse. Two years utilization review experience at a managed care plan or provider organization and....

Q/I (Quality Improvement) Specialist RN

Healthsearch Group - New York, NY
NYS RN License. Facilitates quality assurance and utilization review activities with interdisciplinary team to positively affect the care provided to members....
Easily apply

RN Consultant (1099)

Safe Space NYC - 3 reviews - Jamaica, NY
Assist with the review and preparation of case record reviews and audits, i.e. PSYCKES. Attend 1 to 2 monthly supervisory sessions to ensure communication...

RN- Nursing Epic IT

NYU Langone Medical Center - 176 reviews - New York, NY 10016 (Gramercy area)
Engages in self-assessment and peer review; NYU Langone Medical Center, a world-class, patient-centered, integrated, academic medical center, is one of the...
Dir., Care Management
EmblemHealth - 281 reviews - New York, NY
RN degree, active, unrestricted license. Initiates actions to ensure all utilization targets, both in and out of network, are exceeded....
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Utilization Management Nurse (RN)
Execu | Search - 58 reviews - New York, NY
The Utilization Management Nurse (RN) will:. Learn and use the company's tools and processes to perform and properly track all utilization reviews, as well to...
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