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Utilization Review Jobs in New York State

1 - 15 of 85
1 - 15 of 85
Search Results - Utilization Review Jobs in New York State
placeYonkerslanguageicims.comevent_available
with applicable federal, state, and local law. Personalized care together with advanced technology is what it means to be Community Strong Responsibilities: The Senior Manager of Utilization Review & Denials provides leadership and oversight for the hospital’s...
apartmentPresbyterian Healthcare ServicesplaceSpring Valley (NY)event_available
with utilization review or case management experience desirable.  •  National Case Management certification preferred RN IMM Case Management II  •  Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree...
apartmentCarenest Health ServicesplaceUtica (NY)event_available
individualized discharge plans in collaboration with physicians and interdisciplinary teams Coordinate post-acute care services including home health, SNF, rehab, DME, and community resources Perform utilization review to ensure appropriate level of care...
apartmentPresbyterian Healthcare ServicesplaceSpring Valley (NY)event_available
I  •  Associates Degree in nursing required.  •  *BSN within 5 years of hire date.  •  Current State of New Mexico Registered Nurse licensure required.  •  2 years clinical nursing experience in relevant clinical practice area with utilization review...
apartmentPride HealthplaceWhite Plains (NY)event_available
planning  •  Perform Utilization Review (UR) activities and payer reviews  •  Arrange post-discharge care and patient education  •  Collaborate with healthcare teams to ensure safe patient transitions Requirements  •  BSN required  •  Active NY RN License  •  3...
apartmentPresbyterian Healthcare ServicesplaceSpring Valley (NY)event_available
licensure required.  •  2 years clinical nursing experience in relevant clinical practice area with utilization review or case management experience desirable.  •  National Case Management certification preferred RN IMM Case Management II  •  Registered Nurse...
apartmentPride HealthplaceNew Yorkevent_available
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...
apartmentRCM Healthcare ServicesplaceNew Yorkevent_available
Prior Authorization or Utilization Review experience required  •  Prior experience in an interdisciplinary service delivery environment preferred  •  Working knowledge of Medicare and Medicaid regulations  •  Prior experience in an interdisciplinary...
apartmentJobotplaceNew Yorkevent_available
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...
apartmentMohawk Valley Health SystemplaceUtica (NY)event_available
years utilization review/case management experience or social work experience. Preferred:  •  Associate degree in healthcare related filed.  •  Bachelor’s degree is preferred.  •  Licensed professional nurse may be considered.  •  Bachelors or Masters Degree...
apartmentApidel TechnologiesplaceNew Yorkevent_available
homeless, transgender preferred)  •  Experience with interdisciplinary care coordination (medical, behavioral, social services)  •  Experience with EHR documentation and utilization review License: Active New York license: LMSW / LCSW / LMHC Certification...
apartmentGreenlife Healthcare StaffingplaceSyracuselanguageworkable.comevent_available
RN Case Manager / Utilization Review - Syracuse, NY (#25268)  •  Location: Acute Care/Academic Medical Center, Syracuse, NY  •  Employment Type: Full-time  •  Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing...
apartmentNYC Health + HospitalsplaceNew Yorkevent_available
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...
apartmentGreenlife Healthcare StaffingplaceAlbanylanguagejobvertise.comevent_available
or a graduate of an approved RN program  •  Licensure:Current New York State RN license  •  Experience:3+ years in Med-Legal review setting; 1-3 years in acute care utilization review/appeals  •  Technical Skills:Experience with electronic medical records; strong...
1 similar job: Jericho
placeBrooklyn (NY)languagevnshealth.orgevent_available
community agencies  •  Participates in related VNS Home Care activities, e.g., utilization review, staff meetings, education programs, etc.  •  Assumes responsibility for continued professional growth Qualifications: Licenses and Certifications: Valid NYS...
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