Utilization review jobs in Richmond Hill, 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.

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.

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Syracuse, New York, 13210!. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as the liaison between you and the facility. We know that you are so ...

TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Bronx, New York, 10457!. When you work with us, you can trust that we will help you with everything from travel, to housing, and acting as the liaison between you and the facility. We know that you are so muc...

TravelNurseSource is working with Coast Medical Service to find a qualified Case Manager RN in White Plains, New York, 10601!.

Requirements:-Graduate of an RN program-Previous work experience as an RN-Current unrestricted RN license in the stateWorkplace conditions:-Frequent lifting, bending, and reaching-May require lifting to 80 pounds (using proper techniques)-May require standing and walking 2-5 hours at a time-May h...

Advocating for patients from diverse backgrounds and with different healthcare needs refines your patient advocacy skills, making you a more effective advocate in various healthcare settings. Client in NY seeking RN (Registered Nurse) (RN) to work DaysDays. A northeastern state just located wes...

Genie Healthcare is looking for a RN to work in Case Manager for a 12.Shift (5x8hr evenings-Please verify shift details with recruiter, 16:00:00-00:00:00, 8.Pay and benefits packages are estimated based on client bill rate at time the job was posted.These rates are subject to change.Exact pay and...

We currently have a client in Rome, NY looking for a Registered Nurse RN Case Manager!.Focus Staff is seeking a traveling RN Case Manager for our client in.Pay depends on location and experience.You must be highly motivated and energetic.Candidates must be willing to support a friendly, positive ...

Job Title:** Registered Nurse (RN)Job Specialty: Case Management (Utilization Review)Job Duration: 13 weeksShift: 8H DaysGuaranteed Hours: 37.Experience:** Minimum 1 year of inpatient case management experienceLicense: RequiredCertifications: BLS, PRI (Patient Review Instr...

Registered Nurse Clinical Reviewer / IDR - Lake Success, NY (#25154 B) Minimum of 1-3 years of experience in utilization review/appeals background Greenlife Healthcare Staffing is currently seeking a ...

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 and part time Employer features: Academic medical center, 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 ...

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 ...

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

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

The position also involves reviewing outcomes, coding, and utilization data to enhance participant health and reduce unnecessary utilization. Benefits * Medical, Vision, Dental, and Life Insurance

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 ...