Utilization review jobs in Long Island City, NYCreate job alerts

Minimum of two (2) years utilization review/case management experience or social work experience.

Minimum of two (2) years utilization review/case management experience or social work experience.

Minimum of two (2) years utilization review/case management experience or social work experience.

Minimum of two (2) years utilization review/case management experience or social work experience.

Associate degree in healthcare related filed. Bachelors or Masters Degree in related healthcare field (such as respiratory therapy or social work) may be considered. Minimum of two (2) years utilization review/case management experience or social work experience.

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Demonstrated ability to maintain high level of professionalism during stressful times. Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture. Valid license and/or certification in state of practice, if appl...

QS Nurses is looking for the best of the best! We're here to help you accomplish your goals and your dreams.

TravelNurseSource is working with Fusion Medical Staffing to find a qualified Case Manager RN in Bronx, New York, 10457!. Registered Nurse - Case Manager. Case Manager Registered Nurse travel assignment.

Genie Healthcare is looking for a RN to work in Case Manager for a 13 weeks travel assignment located in , for the Shift (5x8 Days, 07:00:00-15:00:00, 8.

Job description -Registered Nurse- Case Management (Utilization Review). Registered Nurse - Case manager.

Conduct Utilization review via Chart Review. * Conduct timely concurrent reviews and responses to third party payors request for clinical reviews. * Work collaboratively with ED Case Managers and ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift and mid shift Job types available: full time, part time, and per diem Employer features: Cross training ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

Actively participates in Quality Assurance/Performance Improvement and Utilization Review activities. * Conducts medical records audits, participates in needs analyses, oversees new/revised practices ...

Experience with Care Coordination, Utilization review and discharge planning Computer literacy required 1. RN Licensed as a Registered Nurse in the State of New York required. 2. Baccalaureate degree ...

Utilization Management * Participate in utilization review and management. * Maintain focus on key strategic priorities including patient experience, access to care, increased market share, and ...

A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...

The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and ...

Participate in Utilization reviews and remaining available for emergency consultations. • Analyze the best medications or therapy treatment to help patient maximize quality of life. * Maintain ...

Assess appropriate site of care utilization and continued medical necessity reviews for prior authorization to vendors. * Ensure communication with MD offices in relation to Site of Care program

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. * Follow up with assigned nurses for clinical updates to care plan. * Document within two business day ...

... to ensure optimal utilization of services. * Ensure quality standards set by the external ... Provide ongoing review of emergency equipment, biological and medications in order to maintain ...

Documents learning outcomes of patient/family and revises education plan Include utilization of EHR ... Engages in self assessment and peer review; utilizes resources to meet individual learning need and ...