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Utilization Review Nurse Jobs in New York

24 jobs

RN, Utilization Review Nurse A-Line Staffing is currently looking for a Registered Nurse for Utilization Review in both the Buffalo and Rochester New York areas. This company is looking to set up interviews immediately as this position will fill up very quickly. For details and information on this opportunity contact Mike Akers, Staffing Manager at 877-782-3334 Ext.254 or via email: [Click Here t...
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...
Job Description: Med-Scribe, Inc. has been finding top-notch candidates for our clients in the Rochester area since 1987. We began with medical office placements and have evolved to include entry-level administrative/clerical opportunities for well qualified candidates. After almost 30 successful years in Rochester, NY, placing administrative and healthcare specialists, we are coming home to BUFF...
Role Description: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. 3 weeks of training provided in office, no longer on your feet all day. Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, an...
Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations. Responsible for helping to ensure injured parties receive appropriate trea...
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 ...
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...
Implements and coordinates the comprehensive educational and training program for all Clinical and Case Management staff. Develops ongoing clinical skill training programs. In coordination with Care Manager Supervisor and Director , identifies individual Clinical staff weakness and develops appropriate re-education program. Provides education to staff on eCare System. Responsible for the Clinica...
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...
CorVel New York is looking for a Full Time Utilization Review Nurse to join our growing team. The UR Nurse will be responsible for reviewing and determining the appropriateness of medical treatment for Workers’ Compensation cases with adherence to the New York Medical Treatment Guidelines. The UR Nurse will need to fully understand the NY Medical Treatment Guidelines and how they are applied. E...
Position Title: Utilization Review Nurse Branch Location: Central Islip, NY Job Posting Date: 5/18/2016 Job Closing Date: 8/1/2016 Salary or Hourly Rate: TBD Contact: Amanda Cadwallader Phone Number: Fax: Email Address: ***** General Description: CorVel New York is looking for a Full Time Utilization Review Nurse to join our growing team. The UR Nurse will be respo...
Job Opening ID 5766BR Title Nurse Medical Case Mgr/ Utilization Review Nurse Country United States State/Region/Province New York City Buffalo Job Category Claim Nurse - Medical Case Manager Target Openings 6 Position Type Experienced/Professional Company Information Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consis...
Description Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Ph...
Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Me...
Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests. Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Me...
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...
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...
Job Description: Med-Scribe, Inc. recruits top-notch nurses for great opportunities in healthcare! We are seeking qualified RNs for full time, DIRECT HIRE Utilization Review positions! Our client will provide on the job training and help you add valuable experience to your skill set! #50916 - RN / Utilization Review Nurse – Direct Hire, excellent benefits! There is no direct care in this role; ra...
Overview: The purpose of this position is to ensure that Archcare Advantage members obtain timely, cost-effective, quality care in the appropriate setting. The primary role of the Utilization Review (UR) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that our members receive all appropriate medical services in compliance with medical and re...
The purpose of this position is to ensure that Archcare Advantage members obtain timely, cost-effective, quality care in the appropriate setting. The primary role of the Utilization Review (UR) Nurse is to provide clinical support to the Clinical Services Department and Medical Director to assure that our members receive all appropriate medical services in compliance with medical and regulatory gu...