Utilization Review Jobs in New York State
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Search Results - Utilization Review Jobs in New York State
NavitsPartners-Wellsville (NY)
Registered Nurse – Utilization Review & Case Manager
Qualifications:
• Active RN license with a background in case management or utilization review.
• At least 2 years of experience in healthcare case management.
• Familiarity with Medicare...
talentnest.com -
3 similar jobs: Canisteo, Hornell, Alfred
Compass Healthcare Consulting and Placement-New York
of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the collection of pertinent Hospital data and provides educational activities to all levels of Hospital staff regarding the above functions.
Responsibilities...
Interborough Developmental and Consultation Center-Brooklyn (NY)
in utilization review and quality improvement review.
Job Type: Part-time and Full Time (hybrid, in-person start up/training)
*Experience:*
Psychotherapy: 1 year (Preferred)
Education:
• *Master's (Required)*
*License:*
• LMSW (Preferred)
• LMHC (Preferred...
Calvary Hospital-Bronx
Management Department which is responsible for the coordination of the hospital-wide functions of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the collection of pertinent Hospital data and provides educational...
resume-library.com -
HumanEdge-New York
compliance with external and internal utilization review/quality and appropriateness requirements
Major Duties:
• The Utilization Manager is responsible for the day to day functions of collaborative communication with external case managers at referring...
mindmatch.ai -
Centers Care Solutions-Farmingdale (NY)
primary
caregiver, the primary and attending physicians, and various other providers involved in the member’s care.
• Ιnitiates utilization review for preauthorization and post service reviews
• Utilizes knowledge of community resources and the member’s...
ProMed Staffing Resources-Bronx
CLINICAL REVIEW NURSE
Looking for candidates who experience in utilization review.
Location: Uniondale (1 opening)
Setting: Hybrid (In office/remote work)
Bill Rate: $92.00/hr
Schedule: Monday – Friday 8:30 am-5:30 pm (1 hour lunch)
Contract...
resume-library.com -
The Enclave at Rye Rehabilitation and Nursing Center-Port Chester
and accurate completion of Utilization Review and Triple Check
Serves on, participates in, and attends various other committees of the Facility/Community (e.g., Quality Assessment and Assurance) as required, and as directed by their supervisor and Administrator...
Mitchell Martin-Uniondale (NY)
criteria.
" Suggests alternate care plans, makes recommendations and coordinates with the Provider/IDT for appropriate utilization of services.
" Documents case reviews, associated communications, and outcomes in the electronic case file.
" Presents...
resume-library.com -
Mohawk Valley Health System-Utica (NY)
years utilization review/case management experience or social work experience.
Preferred:
• Associate degree in healthcare related filed.
• Bachelor’s degree is preferred.
• Licensed professional nurse may be considered.
• Bachelors or Masters Degree...
HEALTH QUEST HOME CARE, INC.-New York
reviews for competencies.
6. Provides feedback to Team Leaders via program dashboard on quality and process measures .Participates in quarterly Utilization Review.
7. Prepares reports to DQS and Clinical Team as appropriate.
8. Provides direction...
mindmatch.ai -
2 similar jobs: Buffalo, Rochester
HealthCare Support-White Plains (NY)
years of experience in care/case management, disease management, population health management, utilization review, quality assurance, or discharge planning
Benefits For UAS Assessment Nurse
• Medical, Dental and Vision Coverage
• 401(k) +Match...
Mohawk Valley Health System - Utica, NY-Oneonta (NY)
years utilization review/case management experience or social work experience.
Preferred:
• Associate degree in healthcare related filed.
• Bachelor’s degree is preferred.
• Licensed professional nurse may be considered.
• Bachelors or Masters Degree...
17 similar jobs: Bronx, Watertown, Rome, Poughkeepsie, Brooklyn...
NavitsPartners-Cobleskill
Registered Nurse – Quality & Utilization Review Coordinator
Qualifications:
• RN license with experience in quality assurance or utilization review.
• Minimum of 3 years in a hospital or managed care setting.
• Knowledge of regulatory standards...
talentnest.com -
3 similar jobs: Middleburgh, Schoharie, Sharon Springs
NavitsPartners-Spencerport
Registered Nurse – Utilization Review Specialist
Qualifications:
• Active Registered Nurse (RN) license in the state of employment.
• Bachelor’s degree in Nursing (BSN) preferred.
• Minimum of 2 years of experience in utilization review, case...
talentnest.com -
3 similar jobs: Churchville, Brockport, Hilton
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