Utilization Review Nurse, RN

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) will be responsible for assisting the Director of Case Management in overseeing the Utilization Management Program.About the...

JOB SUMMARY: About Christian Health: We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.   Why Join Our...

JOB SUMMARY: About Christian Health: We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.   Why Join Our...

RN Utilization Review Specialist- New YorkAmerican Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN licensePosition Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients in accordance to...

Job DescriptionJob DescriptionRN Utilization Review Specialist- New YorkAmerican Consultants is looking for an perm Utilization Review Specialist for a facility in NY. Must have New York RN licensePosition Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for...

Overview: The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and...

JOB SUMMARY: About Christian Health: We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.   Why Join Our...

JOB SUMMARY: About Christian Health: We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.   Why Join Our...

JOB SUMMARY: About Christian Health: We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are.   Why Join Our...

The following duties are normal for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned. Leads, supervises and directs the workload in the department and with associated stakeholders review and access payer reports as they pertain to the utilization of days, level of care, services and...

**May be required to float**SummaryConcord Hospital is seeking an experienced RN to join our team in ICU / Intermediate Care .The Registered Nurse (RN) 2 is responsible for assessing, planning, implementing and evaluating nursing care for a group of population specific patients for the department /unit, from simple to complex, with multi-system issues in a...

JOB SUMMARY: **About Christian Health**: We have had the privilege of caring for those in need for more than a century. Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and services for our many residents, patients, and clients. Caring is not simply what we do, it is who we are. **Why Join Our...

We are currently looking for RN / LPN / C.N.A.s with at least 6 months of working experience in a long term care setting. This is for a full time/part time or per diem position for a dynamic facility located in Wayne, NJ. Other northern NJ location is in Maywood, NJ & Wyckoff, NJ Careline Services, Inc., a Joint Commission Certified Healthcare Staffing...

Manager- Utilization Review/Case Management- NY American Consultants is looking for a permanent Manager of Utilization Review/Case Management for a facility in New York. Description: Assists the Director in overseeing the Utilization Management program within the hospital provided direct oversight for the Medical Necessity/Level of Care Program and the...

Job DescriptionJob DescriptionManager- Utilization Review/Case Management- NYAmerican Consultants is looking for a permanent Manager of Utilization Review/Case Management for a facility in New York.Description:Assists the Director in overseeing the Utilization Management program within the hospital provided direct oversight for the Medical Necessity/Level of...

Overview: The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient¿s treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage...

Overview: The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient¿s treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage...

Job Description: Position Purpose: Provide case management and clinical services to employees within their regulated scope of practice. Experience/Education: • BA/BS in nursing degree and current RN license in New York State • Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance • Experience in...

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: TRAVEL Location: New York, NY Position: RN CVOR Shift: Days Duration: 13 weeks Weekly Gross: $ 3,372 (based on 36 hours) Weekly gross $ 4,460...

Job DescriptionJob DescriptionVivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration of medical services for company health plan...