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Utilization Review Nurse (Getzville Office)
Fidelis Care - 230 reviews - Getzville, NY
Utilization Management experience required. The Utilization Management (UM) Clinician performs clinical reviews to assess medical necessity of a broad range of...
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Case Manager - RN - Case Management
Northwell Health - 720 reviews - Mount Kisco, NY 10549
Reviews patient's chart. Performs concurrent utilization management using Interqual criteria. Communicates with insurance companies and physicians regarding...
Utilization Review Coordinator
The Utilization Review Coordinator is responsible for prospective, retrospective and concurrent utilization review activities....
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Nursing Supervisor

VEEB Practical Nursing Program - Hicksville, NY
$105,000 - $115,000 a year
Determine the utilization of classroom space in the health career area. Licensed and currently registered as a registered professional nurse in New York State....
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Case Manager, Utilization Management (Telecommuter)

Healthfirst - 682 reviews - New York, NY
RN. The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge...

Registered Nurse (RN), Home Care Quality Coding Review

GOOD SAMARITAN HOSPITAL - 112 reviews - West Nyack, NY
Performs quality improvement measures and utilization review of medical records under the supervision of the PI Manager....

RN Nursing Home Surveyor / Complaint Investigator- Albany

IPRO - 27 reviews - Albany, NY 12211   +2 locations
A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring...

Utilization Review RN / Part Time / Melville

Northwell Health - 720 reviews - Melville, NY 11747
Reviews and coordinates utilization issues concurrently and retrospectively related to potential denials from managed care and third party reviewers....

Utilization Management RN

Ellis Hospital - 87 reviews - Schenectady, NY
The UM RN is responsible for preoperative, concurrent and retrospective reviews in accordance with the utilization management program....

Clinical Documentation Specialist

NYC Health + Hospitals - 47 reviews - New York, NY
And, two (2) years of medical records review or utilization and case management experience; Valid New York State license and current registration to practice as...
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Utilization Review Nurse-RN

Care Staff Health - Rochester, NY
$23 - $30 an hour
Care Staff is currently seeking caring and compassionate RN's to join our team of nursing professionals to work as Concurrent Review Nurses/Utilization Review...

RN Case Manager-No Nights or Weekends - Exciting Opportunity...

Fallon Health - 78 reviews - Amherst, NY
This is a full time day, Monday - Friday, RN nursing position. Reviews Member enrollment data, claims data, urgent and emergency room utilization, acute/skilled...

Admissions Coordinator

Central Nassau Guidance and Counseling Services - 35 reviews - Hicksville, NY
Reviews all clinic intakes for completeness for admission or discharge and perform utilization review on admissions....
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RN - Registered Nurse
New York State Licensed RN. Understands the importance of the RN function and its impact on patients, other care providers, readmission, productivity,...
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Case Manager
Perform verification of utilization criteria reviews. York, PA (Required). RN or LSW (Required). Select Specialty Hospital - York, PA*....
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