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Utilization Review Nurse (Getzville, NY Office)
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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Care Manager Utilization- Registered Nurse (RN)
$90,000 - $91,000 a year
Utilization management or utilization review:. Performs care management including hospital admission certification, continued stay review, discharge planning,...
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Clinical Outcomes Manager – RN
Clinical Documentation Improvement, Quality, Utilization Management experience. At that time, it was the first new hospital built in New York State in over 20...

Utilization Review Nurse - Remote in New York

Oscar Insurance - 18 reviews - New York, NY 10012 (Little Italy area)
We're looking for experienced clinicians to join the fast-growing Utilization Management/Clinical Review team ....

Utilization Management Nurse, Workers' Compensation

Liberty Mutual - 2,497 reviews - East Syracuse, NY
$65,300 - $81,600 a year
Initiate referrals to Peer Review Services appropriately, and coordinate the services to support the utilization review....

Registered Nurse, Quality Improvement & Utilization Review

Services For The Underserved - 65 reviews - New York, NY
Review incidents with medical issues and review medical policies and procedures for appropriate practice and follow-up....
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Registered Nurse (RN) - Case Manager

Aetna - 3,239 reviews - New York, NY 10016 (Gramercy area)
Click here to review the benefits associated with this position. This is an office role located at 55 West 125th Street New York, NY 10027....

Prior Authorization Nurse

HealthCare Partners, MSO - Garden City, NY
Perform clinical reviews of authorization request using appropriate criteria. Knowledge of utilization management and case management principles preferred....
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RN Nursing Home Surveyor / Complaint Investigator- Buffalo R...

IPRO - 28 reviews - Buffalo, NY
A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities...

RN Nursing Home Surveyor/Complaint Investigator- NYC

IPRO - 28 reviews - New York, NY   +2 locations
A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities...

Clinical Documentation Specialist

Saratoga Hospital - 90 reviews - Saratoga Springs, NY
If an RN:. Current valid New York Sate Registered Nurse License. This position is responsible for concurrent inpatient medical record reviews for Medicare,...

REGISTERED NURSE - CASE MANAGER

Eastern Long Island Hospital - 6 reviews - Greenport, NY
Two (2) years' case management and utilization review experience mandatory. Patient Review Instrument/Screen Training certification required....

Assisted Outpatient Treatment Compliance Specialist 1, Centr...

Mental Health, Office of - 23 reviews - New York, NY
$73,284 - $92,693 a year
Review implementation of the court order. In the New York City region, where the volume of AOT-related work is the highest in the state, AOT Compliance...
RN Clinical Manager *$10,000 Sign On Bonus
Visiting Nurse Service of Northeastern NY - Schenectady, NY 12305
Maintain a valid New York State RN License. Ensure that field staff adheres to agency standards of quality and productivity by monitoring CMI, utilization, etc....
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Utilization Review Nurse RN
VNA Home Health - Albany, NY
Registered Nurse - Oasis Review*. VNA Home Health is currently looking for a Registered Professional Nurse to join our Utilization Review Team....
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