Utilization Review Jobs in New York State
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Search Results - Utilization Review Jobs in New York State
The University of Vermont Health Network-Plattsburgh
Job Details
Job Ref:R0064293 Category:Registered Nurse Employment Type:Part Time Location:75 Beekman St, Plattsburgh, NY 12901 Department:CVPH - Utilization Review Job Type:Regular Primary Shift:Evening Hours:2:00 PM - 10:30 PM Estimated Hours per...
Tandym Group-New York
A growing health services network in New York is currently seeking an experienced, licensed Registered Nurse (RN) to join their Case Management team as a Utilization Review Manager. In this role, the Utilization Review Manager (RN)...
mindmatch.ai -
Catholic Health System-Lockport (NY)
Rotation
Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p
Summary:
The RN Care Manager, Utilization Review/ Transitions of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive Utilization...
Atlas Search-New York
providers, and insurance companies to identify and address denials, file appeals, and advocate for the reimbursement of denied claims. The ideal candidate will have a background in nursing, experience in insurance, and expertise in utilization review.
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The University of Vermont Health Network-Plattsburgh
Please Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.
GENERAL SUMMARY: The Utilization Review RN monitors, collects and analyzes data and evaluates variances...
mindmatch.ai -
Integrated Resources, Inc-Manhattan (NY)
with Care Coordination, Utilization review and discharge planning Computer literacy required.
#hczr1...
resume-library.com -
Genie Healthcare-New York
weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel
2 year(s) of experience required.
Will be involved in utilization review and discharge planning.
BSN and CT licensure required (will accept candidates applying for the temp...
1 similar job: Hamilton
Engage Partners Inc.-New York
that are in compliance with regulatory requirements. This includes active participation in utilization review and incident review, conduct trending analysis to make recommendations and implement quality improvement.
• Identify service gaps and produce concepts...
mindmatch.ai -
Albany Medical Center-Albany
Utilization Management and Quality Screening for assigned patients.
• Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies...
Mitchell Martin-Bronx
in a timely and concise manner by each of the staff.
Available for consultation on an as needed basis. On call during off-hours and weekends.
Participate in Utilization Review, staff rounds, supervision and discharge planning, Incident Report Committee...
resume-library.com -
Danbury Health Systems-Poughkeepsie (NY)
forms of domestic violence and/or sexual abuse.
Job Requirements:
• Minimum Requirement: 3 years experience in acute care.
• Must have Associate's Degree or BSN preferred. Must have current RN license.
• Preferred experience in Utilization Review...
E-Talent Network-Albany
excellent writing and editing skills, and proficiency navigating computer applications used for surveillance or utilization review, SharePoint, and the Electronic Plan of Correction system, and has the ability to expeditiously and effectively interpret laws...
resume-library.com -
Mohawk Valley Health System-White Plains (NY)
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...
16 similar jobs: Watertown, Syracuse, Croton On Hudson, Binghamton, Queens...
NavitsPartners-Webster (NY)
EDUCATION / EXPERIENCE
• Minimum Education: LVN
• Preferred Education: BA or BS in Nursing
• Minimum Experience: 3 to 5 years of acute care experience
• 2 Years Health Plan Utilization Review or equivalent work
• Preferred Experience: 5 years Health...
talentnest.com -
3 similar jobs: Lancaster, Richmond, Mount Pleasant
Brooklyn (NY)
clients.
• Participation in committees responsible for quality assurance, incident management and utilization review.
• Oversee EHR and clinic procedure training of new staff.
• Responsible for Incident Report submission.
• Provide direct care services...
icims.com -
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