Utilization Review Jobs in New York
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Search Results - Utilization Review Jobs in New York
Integrated Healthcare Services-New York
week
• Shift: 8 hours, days
• Employment Type: Travel
• Required Skills & Experience: -Five (5) years minimum of clinical experience as a Registered Nurse. -Experience with Care Coordination, Utilization review and discharge planning Computer literacy...
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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 -
Pride Health-New York
execution, especially with reporting actionable activity by / for clinicians.
• Experience in managed care setting with knowledge of VBP, utilization review, case Mngmt, etc.
• Proficiency in claims analysis.
• Proficiency in SQL (required), SAS (desired...
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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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Dane Street, LLC-New York
No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded...
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appcast.io -
New York
to complete the application process. Facilitates efficient communications for timely responses.
• Maintains continuous contact with GUMC departments (e.g. Admitting Utilization Review Social Work Patient Financial Services) to assure that the proper pre...
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medstarhealth.org -
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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NYC Health + Hospitals-New York
delivery systems to ensure delivery of quality care standards.
• Provides guidance to health care settings for establishment and maintenance of utilization review, quality assurance and discharge planning programs, which comply with state, federal...
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Dane Street, LLC-New York
and no treatment is provided. These are advisory-only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise
• Expanded credentials as an expert in Independent Medical Exams...
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resume-library.com -
Salem Health Hospitals & Clinics-New York
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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appcast.io -
NavitasPartners-New York
review processes. This role involves collaborating with interdisciplinary healthcare teams to ensure efficient care planning, appropriate resource utilization, and positive patient outcomes.
Key Responsibilities...
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talentnest.com -
Physician Affiliate Group of NY-New York
and Root Cause Analysis committee.
• Responsible for submitting, reporting, and reviewing incidents as indicated by policy.
• Participate in utilization review and management.
• Maintain focus on key strategic priorities including patient experience, access...
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appcast.io -
Greenlife Healthcare Staffing-New York
years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR
• 3 years of clinical or administrative experience; OR
• A Bachelor’s degree in Nursing and 2 years...
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workable.com -
PracticeLink-New York
of individuals in treatment and reviews the appropriateness of continued treatment and level of care
Contributes to the completion of Treatment Plans and Utilization Reviews.
Participates in daily team huddles, regularly scheduled staff meetings and case...
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mindmatch.ai -
NavitasPartners-Chinatown
review processes. This role involves collaborating with interdisciplinary healthcare teams to ensure efficient care planning, appropriate resource utilization, and positive patient outcomes.
Key Responsibilities...
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talentnest.com -
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