Utilization Review Jobs in Bronx
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Search Results - Utilization Review Jobs in Bronx
NYC Health + Hospitals-Bronx
Provides guidance to health care settings for establishment and maintenance of utilization review, quality assurance and discharge planning programs, which comply with state, federal and The Joint Commission requirements and counsels to resolve operational...
Bronx
intervention goals and activities which support the service plan
• Coordinate Annual Functional Assessment Review for each resident, submitting report and recommendations to Utilization Review Committee.
• Responsible for maintaining contact with other service...
icims.com -
VNS Health-Bronx
VNS Health standards and regulatory requirements.
• Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care...
Calvary Hospital-Bronx
in 403 (b)
• Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Flex Spending, Transit Check.
• Free On-Site Parking
Participates in the Utilization Review, Discharge Planning, Risk Management, and Quality Assessment...
workable.com -
Bronx
of all billable and non-billable peer support activities in the electronic health record
• Ensure all documentation complies with HIPAA, OASAS Article 32 regulations, and Medicaid billing requirements
• Participate in utilization review, peer review...
icims.com -
GQR Healthcare-Nyack, 16 mi from Bronx
Job Description
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Nyack, New York.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 06/01/2026...
RWJBarnabas Health-Livingston (NJ), 24 mi from Bronx
denials, and avoidable days.
Clinical Resource Management
• Support and guide hospital-based physician advisors in conducting utilization reviews, peer-to-peer discussions, and level-of-care determinations.
• Ensure compliance with CMS regulations, payer...
Apidel Technologies-New York, 12 mi from Bronx
an experienced Registered Nurse (RN) Care Manager to support care coordination across a hospital setting. The ideal candidate will have strong clinical experience along with expertise in care coordination, utilization review, and discharge planning.
This role...
GQR Healthcare-Nyack, 16 mi from Bronx
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Nyack, New York.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 06/01/2026
• Duration: 13 weeks...
TheraEX Staffing Services-Mount Vernon (NY), 4 mi from Bronx
utilization review; diabetes education experience preferred / EMR: EPIC / Floating: Not specified / Scrubs: Not specified / Additional: Flu vaccine required (no exceptions), no call-off policy, 14-day written cancellation notice / PAY NEGOTIABLE
TheraEX...
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