Utilization review jobs in Forest Hills, New York (NY) State

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...

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...

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...

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) 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...

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) 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...

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. ...

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. ...

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...

Montefiore Medical Center is seeking a Registered Nurse (RN) Med Surg for a nursing job in Bronx, New York. Posted job title: Registered Nurse-Wakefield. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click . ...

Montefiore Medical Center is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a nursing job in Bronx, New York. The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center. New York State License for Registered Pr...

Montefiore Medical Center is seeking a Registered Nurse (RN) Maternal - Newborn for a nursing job in Bronx, New York. The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center. New York State License for Registered Professio...

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. ...

Montefiore Medical Center is seeking a Registered Nurse (RN) Pediatrics 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 a RN. The Montefiore RN maintains standards of the pract...

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

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....

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

VNS Health is seeking a Registered Nurse (RN) Home Health for a nursing job in New York, New York. Current license to practice as a Registered Nurse in New York State  . VNS Health Home Care RNs redefine the standard of patient-centered care for New Yorkers while keeping them out of the crowded h...

VNS Health is seeking a Registered Nurse (RN) Home Health Hospice for a nursing job in New York, New York. Current license to practice as a Registered Nurse in New York State  . VNS Health Home Care RNs redefine the standard of patient-centered care for New Yorkers while keeping them out of the c...

RN's will be conducting in-field assessments. Review consumer medical documentation and or health referral forms, as relevant to the case. Document any concerns, conflicting information, other issues that surface during the evaluation process. Current RN Licensure in New York State. ...