UTILIZATION REVIEW RN jobs in NEW YORK CITY NY, United Kingdom

inspections, utilization review and independent professional reviews as needed. Attend nurses’ meetings when requested... a plus. Responsibilities Coordinate medical pre-admission evaluations and screening of prospective clients. Review and update persons...

Pre-Authorization RN with Utilization Review / Hybrid to Remote Telework after new hire successfully completes 4 – 6.... Qualifications: NY State RN UM experience Knowledge of Utilization management processes is required. BSN preferred Prior...

RN- Utilization Review Nurse LTSS/DME *Full Time 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL... MANAGED CARE COMPANY - VILLAGECARE! VillageCare is looking for a self-motivated and passionate RN as Utilization Review...

RN- Utilization Review Nurse LTSS/DME *Full Time 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL... MANAGED CARE COMPANY - VILLAGECARE! VillageCare is looking for a self-motivated and passionate RN as Utilization Review...

the highest quality of care. Performs utilization review tasks for all insurance payers. Supports neighborhood staff in.... Please apply for more details! Clinical Reimbursement Manager / RN / On-Site Role Responsibilities: This position will be responsible for the assessment...

, Perioperative Services, RN. Responsibilities: Directs the clinical and administrative functions of Perioperative Services... and other reports as required. Uses available utilization data to determine overall staffing needs of division Works with Clinical...

135 years. The Case Manager is responsible for all aspects of discharge planning and utilization management/review...Discover Where Amazing Works Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located in Park Slope...

and utilization review experience is highly preferred. Capable of doing discharge planning and referrals to Nursing Homes, Home Care...Job Title: RN Case Management Location: Bronx, NY Local Pay Rate: $113/hr Travel Package: Hourly Rate...

Required Licensure- Current RN Licensure in New York State Required Experience- Two (2) years of experience in... experience as a paraprofessional or LPN and RN caring for a minimum of 2 patients per week OTHER : The following are examples...

should have strong Case Manager experience and Utilization review experience is highly preferred. Candidate should be capable of doing... as needed - Utilize utilization management techniques to optimize patient care and resources - Ensure compliance with HIPAA regulations...

RN Case Manager Coordinates the continuum of medical care services for patients to ensure optimum utilization... Experience in a managed care organization preferred Certification in Utilization Review or Case Management preferred Analytical...

RN Case Manager Coordinates the continuum of medical care services for patients to ensure optimum utilization... Experience in a managed care organization preferred Certification in Utilization Review or Case Management preferred Analytical...

, racial, ethnic, religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure.... Collaborate with clinicians to review UAS and the UAS analyzer system to ensure accuracy of their assessments. Ensure...

, racial, ethnic, religious backgrounds, and congenital or acquired disabilities. JOB RESPONSIBILITIES: Review and ensure.... Collaborate with clinicians to review UAS and the UAS analyzer system to ensure the accuracy of their assessments. Ensure...

with the professional development team on programs such as orientation and onboarding, competency program, RN Residency... communication and promotion of a collegial atmosphere Collaborates with the interprofessional team to review patients’ goals/needs...

preferred, however will also consider Utilization Review, Managed Care, Case Management experience 2-5 years in either Medical... review and chart validation within our Hospital Bill Review Department. Candidate should be highly motivated...

, and for the utilization of health care services by health home members who have complex, chronic, high-cost conditions. Direct... and face to face meetings. Directly observe and review coordination of care for a higher risk cases. Supervise reassessment...