Utilization review jobs in Corona, New York (NY) State

Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA),...

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse. Prior hospital and/or community-based Care Management and Utilization Review experience. The successful candidate will:* Complete and send initial clinical reviews withi...

RN- Utilization Review NurseLTSS/DME* Full Time 100% Remote Opportunity*COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. Some of your daily activities will includ...

Welcome to Pride Health, where our commitment to excellence has been transforming the healthcare staffing landscape since 2010.As the healthcare staffing branch of Pride Global, we take pride in being a minority-owned business that excels in delivering exceptional service to both our clients and ...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews throughou...

VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retro...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review meth...

VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York. Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review, including the design, testing and evaluation of the review meth...

Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days. The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and operating room procedures. ...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Coordinates external case reviews requested by enrollees, including preparing and submitting documentation according to regulatory requirements and tracking external reviews throughou...

VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retro...

Receive and review escalated reviews. We're hiring a Associate Medical Director to join our Utilization Management team. The Associate Medical Director will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidenc...

Utilization management experience. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Orthopedic Surgery Director for a nursing job in Bronx, New York. ...

Memorial Sloan Kettering Cancer Center is seeking a Registered Nurse (RN) Radiology for a nursing job in New York, New York. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Clinic Manager for a nursing job in Bronx, New York. Hire, supervise, evaluate, and train counseling staff and vocational related internships. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we ha...

Healthcare Support Permanent Placement is seeking a Registered Nurse (RN) Case Management for a nursing job in Bronx, New York. Oversee a team of 4-5 community nurses. Posted job title: case manager. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Float for a nursing job in Bronx, New York. Posted job title: Registered Nurse Float Pool. Two years of ICU RN experience. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our asso...

VNS Health is seeking a Registered Nurse (RN) Home Health New Graduate for a nursing job in Manhattan, New York. The VNS Health Nurse Residency Program is designed to empower recent RN graduates with hands-on clinical experience and training to develop the next generation of expert home care clin...

Montefiore Medical Center is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Bronx, New York. New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an R. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Bronx, New York. The Montefiore RN maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing’s Social ...

Talent4Health is seeking a local contract nurse RN Home Health Case Management for a local contract nursing job in Brooklyn, New York. Job title: Registered NurseDuration: 2 yearsLocation 1: 960 Elton Street, Brooklyn, New YorkShift time: 4-5 days/week, 9am-5pm or 3:30pm-11:30pmGuaranteed hours: ...

Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Brooklyn, New York. Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Brooklyn, NY. Posted job title: RN - Case Management....

South Asian Non-Clinical Case Manager. Job Summary: Under the supervision of the Director of Case Management, the caseworker determines client needs and eligibility for assistance, and arranges for services to assist older adults in their efforts to age in place. Compile statistics and maintain c...