Utilization Review Jobs in New York
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Search Results - Utilization Review Jobs in New York
ProKatchers-New York
Job Description
ProKatchers is seeking a local contract nurse RN Utilization Review Manager for a local contract nursing job in Bronx, New York.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 8 weeks...
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eviCore healthcare-New York
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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New York City Health and Hospitals Corporation - 234 E 149th Street-New York
Job Description
Certification Details
• BLS
• RN License (New York State)
• PRI and Screen certification
Job Details
• Care Manager role in Emergency Department (ED) specialty.
• Requires experience in clinical nursing, utilization review, care...
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eviCore healthcare-New York
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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Integrated Healthcare Services-New York
utilization review, and discharge planning. This role requires a strong clinical background and the ability to work collaboratively with healthcare teams to ensure optimal patient outcomes.
Required Qualifications:
• Five (5) years minimum of clinical...
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eviCore healthcare-New York
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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Integrated Healthcare Services-New York
13 weeks
• 35 hours per week
• Shift: 7 hours, days
• Employment Type: Travel
Job Title: Care Manager - ED
Location: State of New York
Job Summary: The Care Manager - ED is responsible for providing care coordination, utilization review...
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Helen Hayes Hospital-New York
collaboration across disciplines.
• Commitment to patient-centered care and high-quality clinical outcomes.
• Participation in quality improvement, utilization review, and clinical documentation integrity initiatives.
• Willingness to mentor mid-level providers...
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appcast.io -
MJHS Health System-New York
Knowledge of Quality Assurance, Utilization Review, program development and implementation skills
• Strong communication and leadership skills...
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Prime Staffing-New York
week
• Shift: 8 hours, days
• Employment Type: Travel
Five (5) years minimum of clinical experience as a Registered Nurse.
Experience with Care Coordination, Utilization review and discharge planning Computer literacy.
Required Education...
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Physician / Other / New York / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
eviCore healthcare-New York
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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24-MAG-New York
We are sharing a specialised part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization workflows...
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careers-page.com -
eviCore healthcare-New York
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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New York
approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
This position is remote with a preference of working hybrid out of one of our AmTrust office locations!
Responsibilities:
• Uses...
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icims.com -
Greenlife Healthcare Staffing-New York
Licensure: Must hold an active NYS Registered Nurse license.
• Experience:
• Minimum of 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR
• 3 years of clinical...
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workable.com -
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