Skip to main content
X

Get jobs by email for this search

By continuing you agree to Monster's Privacy policy, Terms of use and use of cookies.

Utilization Review Nurse Jobs in New York

16 jobs

Growing MLTC Organization Job Description Audit and analyze patient records to ensure quality patient care and appropriateness of services. Review all inpatient admissions and initiate discharge planning in a timely manner Perform retrospective medical record review for inpatient or outpatient services Utilize clinical skills, chart review, physician communication, and clinical criteria for a...
One of our best clients is currently seeking a Utilization Review Nurse in Rochester, NY! Qualifications & Requirements: Utilization Management experience Valid and Active RN license in the state of NY Strong PC skills Medicare and Medicaid guidelines experience Knowledge of InterQual criteria is preferred but not required as this is trainable If you or anyone you know is interested, send y...
Utilization Review Nurse (RN) - Managed Care Rochester, NY Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs reviews of current inpatient services, and determine medical appropriateness of inpatient and outpatient services following evaluation of medical...
One of our best clients is currently seeking a Utilization Review Nurse in Rochester, NY! Qualifications & Requirements: Utilization Management experience Valid and Active RN license in the state of NY Strong PC skills Medicare and Medicaid guidelines experience Knowledge of InterQual criteria is preferred but not required as this is trainable If you or anyone you know is interested, send y...
Our client, a leading national healthcare organization, is currently seeking Utilization Review Nurses in the Fairport, NY area. Both temporary and permanent positions are available, dependent on qualifications and experience. This job will have the following responsibilities: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting Approve services ...
The U.R. Nurse gathers demographic and clinical information on prospective, concurrent, and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay. REQUIRED EDUCATION/TRAINING Must be currently licensed as a Registered Nurse in the state of employment with a minimum of 4 years clinical experience. Must be computer ...
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. RESPO...
Facilitates a process of assessment, planning and advocacy for options and services to meet an individuals health needs through communication and available resources to promote quality cost effective care. Validates appropriate level of care (severity of illness), efficient and effective care delivery (intensity of services) and safe discharge to the next appropriate level of care. Conducts admiss...
Facilitates a process of assessment, planning and advocacy for options and services to meet an individuals health needs through communication and available resources to promote quality cost effective care. Validates appropriate level of care (severity of illness), efficient and effective care delivery (intensity of services) and safe discharge to the next appropriate level of care. Conducts admiss...
Alvarez & Marsal is a leading independent global professional services firm, specializing in providing turnaround management, performance improvement and corporate advisory services, is seeking to expand its Healthcare Industry Group practice with an emphasis in clinical management through its newly formed Clinical Support Services business unit. With more than 2,600 professionals based in locatio...
Utilization Review Nurse Summary At Oscar, we work hard to provide the kind of health insurance we would want for ourselves. This means that we get to be creative and to build an excellent health insurer from the ground up. We're looking for experienced clinicians to join the fast-growing Utilization Management team in our NYC headquarters. We're working to bring a new level of service to utili...
Utilization Review Nurse - CareConnect-000H2I 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 accordanc...
NIAGAR FALLSMEMORIAL MEDICAL CENTER RN Career opportunities available We are actively recruiting for: · PT RNs for our Invasive Cath Lab and Non – Invasive Stress Lab Team Exciting opportunity to be a part of Niagara County’s first Cath Lab. Requirements include: · Be a part of the on call team. · Ability to arrive at cardiac catheterization laboratory within 30 minutes of on-call staff act...
Description: Reviews incoming precertification requests for authorization retrieval: Answers incoming calls from requesting physician office/provider. Obtains patient identification information, i.e. name, date of birth, etc. Obtains service request details, i.e. date of service, facility, requesting provider, etc. Obtains clinical service information, i.e. diagnosis/procedure code, etc. for ...
Mount Sinai Health System Careers Do you have what it takes to wear the badge? Being a member of our nursing team at the Mount Sinai Health System is truly a badge of honor. Our nursing professionals provide leadership in a stimulating, supportive, and state-of-the-art environment where expertise is valued and collaboration is essential. As members of interdisciplinary care teams, nurses wo...
Utilization Management RN - CareConnect-000NRC 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 accordan...