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74

Rn Utilization Review Jobs in New York





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Job info
 
Company
**********
Location
Albany, NY
Posted Date
Oct 31, 2020
Info Source
Employer  - Full-Time  90 

Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... 8am-5pm EST The Front End Review nurse uses clinical..

 
Company
**********
Location
Albany, NY
Posted Date
Aug 15, 2023
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse work assignments are ... the Soul. Join Us! The Utilization Management Nurse 2..

 
Company
Location
Albany, NY
Posted Date
Sep 15, 2021
Info Source
Employer  - Full-Time  90  

... Required Qualifications Degree in Nursing RN license Compact state RN license Minimum of three (3) ... clinical experience Behavioral Health experience Utilization management experience Must have accessibility ... Desired..

 
Company
**********
Location
Albany, NY
Posted Date
Nov 26, 2022
Info Source
Employer  - Full-Time  90  

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

 
Company
Location
Albany, NY
Posted Date
Sep 11, 2023
Info Source
Employer  - Full-Time  90  

... refers to internal stakeholders for review depending on case findings Educates ... case findings Educates providers on utilization and medical management processes. Enters ... active compact or single state..

 
Company
Location
Albany, NY
Posted Date
Jun 23, 2023
Info Source
Employer  - Full-Time  90  

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes ... discussed during the interview. The Utilization Management Behavioral Health Nurse completes ... obtain sufficient clinical information...

 
Company
Location
Albany, NY
Posted Date
Jul 09, 2022
Info Source
Employer  - Full-Time  90  

... reviews, provider education on the utilization and medical management processes, entering/maintaining ... Required Qualifications 2 years of Utilization Management (UM), Pre-Auth, or other ... Pre-Auth, or other managed care..

 
Company
**********
Location
Norwich, NY
Posted Date
Mar 18, 2022
Info Source
Employer  - Full-Time  90 

Contact Agency People With Developmental Disabilities, Office for Title NA1 Nurse Administrator 1 - Broome Occupational Category Health Care, Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional, Scientific, and ..

 
Company
**********
Location
Syracuse, NY
Posted Date
Feb 20, 2022
Info Source
Recruiter  - Full-Time  90 

Specialty: RN Case ManagementJob Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity ..

 
Company
Location
Albany, NY
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse utilizes clinical nursing ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... the Soul. Join Us! The Utilization Management Nurse 2..

 
Company
**********
Location
Bronx, NY
Posted Date
Jun 16, 2025
Info Source
Employer  - Full-Time  90 

... Sign-On BonusClinical experience as an RN, Surgical Tech, Radiology Tech required.Our ... standards where applicable. Participate in review business and finances of the ... integrity of facilityResponsible for efficient..

 
Company
**********
Location
Oswego, NY
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

Job Information Kindred at Home RN Clinical Manager in Oswego New ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization..

 
Company
**********
Location
Albany, NY
Posted Date
Jul 17, 2021
Info Source
Employer  - Full-Time  90  

Description Job Summary The Utilization Management Behavioral Health Professional 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 ... courses of action. Responsibilities The Utilization Management..

 
Company
**********
Location
Albany, NY
Posted Date
Aug 27, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
**********
Location
Hauppauge, NY
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

Job Information Kindred at Home RN Clinical Manager in Hauppauge New ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization..

 
Company
**********
Location
Binghamton, NY
Posted Date
Mar 20, 2022
Info Source
Employer  - Full-Time  90 

... Mental Health, Office of Title Utilization Review Coordinator, Greater Binghamton health Center, ... have permanent status as a Utilization Review Coordinator, Grade 19, and be ... Nurse Administrator 2..

 
Company
**********
Location
Liverpool, NY
Posted Date
Jul 17, 2022
Info Source
Employer  - Full-Time  90  

Job Information Kindred at Home RN Clinical Manager Home Health Full ... needs based on own the review of clinical documentation in addition ... to feedback and recommendations by Utilization..

 
Company
**********
Location
Albany, NY
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

... refers to internal stakeholders for review depending on case findings. Educates ... case findings. Educates providers on utilization and medical management processes. Enters ... Qualifications Active Registered Nurse License..

 
Company
Location
Albany, NY
Posted Date
Jul 01, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
**********
Location
Albany, NY
Posted Date
Aug 26, 2022
Info Source
Employer  - Full-Time  90  

Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..

 
Company
Location
Albany, NY
Posted Date
Jun 02, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Behavioral Health Professional 2 ... and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 ... courses of action. Responsibilities The Utilization Management Behavioral Health..

 
Company
**********
Location
Albany, NY
Posted Date
Sep 11, 2021
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

 
Company
**********
Location
Albany, NY
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

Description The Utilization Management Nurse 2 utilizes clinical ... Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments ... courses of action. Responsibilities The Utilization Management Nurse 2..

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