Utilization Review Nurse Jobs in New York

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973 New York Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 973
Judge Healthcare is actively seeking a full time Utilization Review Specialist for an outstanding healthcare client of ours in the Syracuse, NY area! The right candidate must possess the following qualifications: Active RN or LPN license in the state of NY. Utilization Review/Case Management experience REQUIRED. Please send your MOST UP TO DATE resume to Rebecca at ***** or giv...
The Utilization Management (UM) Review Nurse (Inpatient or Outpatient) performs chart reviews to determine medical necessity of requested outpatient services or inpatient stays, while maintaining compliance with appropriate nursing standards and all regulatory requirements. Interfaces with medical directors, and both internal and external stakeholders, in regards to coverage for services, contract...
Judge Healthcare is actively seeking a full time Utilization Review Registered Nurse for one of our BEST National Healthcare clients!!! This opportunity is located in Syracuse, PA! The right candidate must possess the following qualifications: Active RN license in the state of New York. 1-2 years' of experience in Utilization Review and/or Case Management. Please send your MOST UP TO DATE res...
Position Description: Total Care, a subsidiary of Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those ...
Lenox Hill Hospital 2200 Northern Boulevard, NY
Description As a Utilization Review Nurse you will review and coordinate prospective, concurrent and retrospective activities related to utilization. Monitor documentations for accuracy and clinical compliance. Organize and coordinate activities within the organization in accordance with standards of State and Federal regulations; and in accordance with accreditation and other guidelines. RESPON...
WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. There are 2 openings. They...
Judge Healthcare is actively seeking a full time Utilization Review Specialist for an outstanding healthcare client of ours in the Syracuse, NY area! The right candidate must possess the following qualifications: Active RN or LPN license in the state of NY. Utilization Review/Case Management experience REQUIRED.Please send your MOST UP TO DATE resume to Rebecca at ***** or give ...
The Travelers Companies Buffalo, NY, 14202
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Office based telephonic medical case managemen...
The Travelers Companies Buffalo, NY, 14202
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Office based telephonic medical case managemen...
Universal American Syracuse, NY, 13201
Total Care, a subsidiary of Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those we serve and reduce hea...
APS Healthcare Syracuse, NY, 13201
Total Care, a subsidiary of Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medicare and/or Medicaid. We are dedicated to working collaboratively with healthcare professionals in order to improve the health and well-being of those we serve and reduce hea...
Position Summary: Are you an experienced Registered Nurse in the Greater Syracuse, NY area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your Nursing career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, fle...
LogistiCare, Inc. Melville, NY, 11747
Knowledge and Skills: - RN with active state license - Supervisory experience and ability to manage and lead a small team of employees - Strong Utilization Review professional background preferred or at least 4 years recent clinical experience - Exceptional interpersonal skills with excellent written and verbal skills - Knowledge of clinical UR and QA, Medicaid, Medicare guidelines and covered ser...
Beacon Health Strategies, LLC New York, NY, 10007
Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Responsibilities: • Performs telephonic care review and authorization determi...
Beacon Health Strategies, LLC New York, NY, 10007
Job Description Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Responsibilities: Responsibilities • Performs telephonic ca...
Beacon Health Strategies, LLC New York, NY, 10007
Job Description Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Responsibilities: Responsibilities • Performs telephonic ca...
Beacon Health Strategies, LLC New York, NY, 10007
Job Description Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Responsibilities: Responsibilities • Performs telephonic ca...
Beacon Health Strategies, LLC New York, NY, 10007
Job Description Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Responsibilities: Responsibilities • Performs telephonic ca...
Beacon Health Strategies, LLC New York, NY, 10007
Job Description Authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Responsibilities: Responsibilities • Performs telephonic ca...
Beacon Health Strategies, LLC New York, NY, 10007
Job Description The Team Lead for utilization management authorizes and reviews utilization of mental health and substance use services provided in inpatient and intermediate care settings; assists with discharge planning and ambulatory follow up activity provides member assistance with mental health and substance use issues, and participates in special utilization projects. Supervision of UM cli...

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Nurse Manager

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$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in New York
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Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
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Master's
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Source: Monster.com Careerbenchmarking Tool

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