Utilization Review Jobs in New York
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Search Results - Utilization Review Jobs in New York
Pride Health-New York-
Required Qualifications
✔ Active NY RN License (Primary Source Verification required)
✔ Bachelor’s Degree (BSN preferred)
✔ Minimum 5 years RN clinical experience
✔ Experience in Care Coordination, Utilization Review & Discharge Planning
✔ Strong...
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Apidel Technologies-New York-
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...
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Medix™-New York-
This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. They will utilize their knowledge and expertise of the review program to conduct clinical level review, supporting Medical Review Analysts...
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LivingWellNYC-New York-
Developmental and coordination of treatment plan with patient, et. al.
• Participate in utilization review and quality improvement review.
$45-50/hr, 10hr minimum, 401K/matching, HRA/Health Assistance...
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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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Pride Health-New York-
Required Skills & Experience:
• Minimum 5 years of clinical experience as a Registered Nurse
• Leadership experience preferred
• Experience with Care Coordination, Utilization Review, and Discharge Planning
• Computer literacy required
🎓 Education...
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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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Helen Hayes Hospital-New York-appcast.io-
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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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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PRIDE Health-New York-
Weekly Stipend
Required Qualifications
✔ Active NY RN License (Primary Source Verification required)
✔ Bachelor’s Degree (BSN preferred)
✔ Minimum 5 years RN clinical experience
✔ Experience in Care Coordination, Utilization Review & Discharge Planning...
Read more
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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PRIDE Health-New York-
approx.)
• $1,700 Weekly Stipend
Required Qualifications
✔ Active NY RN License (Primary Source Verification required)
✔ Bachelor’s Degree (BSN preferred)
✔ Minimum 5 years RN clinical experience
✔ Experience in Care Coordination, Utilization Review...
Read more
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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Jobot-New York-
for Transit and Parking
• Pet care discount 25% with participating Providers
Job Details
We are looking to hire a skilled RN with BSN degree preferred and at least 2 years’ experience in Case Management or Utilization Review.
Reporting to the Supervisor...
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Salem Health Hospitals & Clinics-New York-appcast.io-
responsibilities
• Support quality assurance, utilization review, and clinical improvement initiatives
• Collaborate with CRNAs and colleagues in a rotation of back‑up anesthesia coverage
• Engage in a supportive and collegial environment with opportunities...
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