Utilization Review Nurse Jobs in New York City, New York
11 New York City, NY Utilization Review Nurse jobs found on Monster.Jobs 1 to 11 of 11
Lead Nurse Coordinator: Clinical Delivery Systems Reporting to the Managing Director, Strategic Initiavies and the Chief Medical Officer, the lead nurse coordinator, working closely with a team of Institute providers and a health data analyst, will develop and implement a disciplined process to analyze individual patient and population data , as well as provider and practice data from all availabl...
Access Nursing Services has an immediate need for a Utilization /Chart Review RN; Nurse is responsible for ensuring the effective utilization of medical services through the application of nationally recognized medical necessity criteria. Duties: - Provide precertification, concurrent review and retrospective reviews for designated health care services to ascertain medical justification through th...
Job Summary: Provides case management services for PIP and/or workers compensation cases with lost time, complex medical care, and/or high medical utilization. Ensures appropriateness and cost effectiveness of care, and optimal outcomes with complex and/or high volume caseloads. Coordinates cases with internal and external claim representatives, clients, employees, providers and attorneys. Provide...
Director of Clinical Reimbursement Position Summary: The Regional Director of Clinical Reimbursement assures the management of the Medicare, Managed Care and Medicaid reimbursement system for a region-specific number of skilled nursing facilities. This position reports directly to the Vice President of Clinical Reimbursement. In this role you will be responsible for regulatory compliance and quali...
ASSISTANT DIRECTOR OF NURSING Access Nursing Services has immediate needs for multiple Intake RNs, Assistant Directors to work at some of the top hospitals in Manhattan, Queens & Bronx. Responsibilities include but are not limited to: Evaluating patients referred to home care. Planning, writing and coordinating referrals for home care services Collaborating with the hospital’s case managers Discha...
SUMMARY: The Care Manager under the direction of the Director of the Department of Utilization/Care Management, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Care Manager will assist the provider in directing...
Company Confidential East Hanover, NJ, 07936
Job Title: Department: Reports to (Job Title): Associate Director, Patient Adherence Patient Services Director, Patient Adherence Job Purpose The Associate Director, Patient Adherence, is responsible for implementing adherence strategies through relevant offerings to support the business objectives of both new products and in-line brands. This individual will partner with internal stakeholders to...
We are seeking a Clinical Manager to be responsible for implementation of clinical goals and objectives. Directs clinical staff in development and implementation of patient plan of care. Plans and develops clinical in service and on going education programs. Monitors program expenditures and utilization of services. Supervises clinical staff. Recruits, interviews and recommends hire of, disciplina...
RN Case Manager - Appeals/Denials For 40 years, McBee Associates has focused exclusively on the financial and management needs of health care organizations across the country. McBee Associates has a proven track record of providing solutions designed to increase profitability, improve operations, and ensure the financial health of their clients. Due to an increase in demand for our services, McBee...
This is an outstanding opportunity to join a growing and highly respected managed care company in a key role. The Manager, Medical Management will lead the utilization activities to ensure members are receiving the optimum care with efficiency and effectiveness. This position also plays a key role in ensuring quality assurance and regulatory and statutory compliance. The Manager, Medical Managemen...
We are looking for a Registered Nurse for a telephonic case management position. Experience is a must - (ideally PIP experience, utilization review, insurance claims). Must be very proficient with a computer....
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RNs please answer my questions?
I just starting med school and LOVE it. I always wanted to be an RN, but i just hear so many bad things about the job. First of all are you really like a SLAVE? people just make it seem like your a wo...
Career Change but Not sorta...?
Try to make this short: -Im an LPN student basically in the first quarter. I have a 3.8 GPA -Im 24 and my previous work history since I was 18 has been in the Industrial field (factory work). Very g...
What would be a better career to have: A Registered Nurse, A Nurse Anesthetist, or A Pharmacist?
What would be a better career to have: A Registered Nurse, A Nurse Anesthetist, or A Pharmacist? Pros of being a Registered Nurse: Doesn't take that long to become one. Cons of being a Register...
What are the pros an cons of being a rn nurse?
I just got out of high school an i Always wanted to do something big in my life an i would love going into the medical field but i just wanted to know more about it an how collage would go an the care...
What are the job responsibility differences between hospital discharge planners and nursing case man...
I am a BSN looking to get back into the nursing field but would prefer not to provide direct bedside nursing care. I have been looking into Case Management positions but notice that some job descripti...
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$87,360.00 - $115,000.00
Typical Salary for Nurse Manager in New York City
Source: Monster.com Careerbenchmarking Tool
Education / Training
Source: Monster.com Careerbenchmarking Tool
Promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area; directing and developing staff; providing physical and psychological support for patients, friends, and families.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Promotes patient's independence by establishing patient care goals; teaching and counseling patient, friends, and family and reinforcing their understanding of disease, medications, and self-care skills.
Maintains nursing operations by initiating, coordinating, and enforcing program, operational, and personnel policies and procedures.
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