RN - Utilization Review
INFOJINI
Utilization Review Rn
Job type: Travel
Profession: RN
Specialty: Utilization Review
State: NY
INFOJINIVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the RN - Utilization Review in New York, NY vacancy
- Job Description Summary Your job is more than a job The RN Utilization Review position allows for necessary support for patient throughput, physician communication and meets payer requirements. These efforts will provide optimal workflow and successful patient outcomes....SuggestedShift workNight shiftWeekend work
- ...role is specific to the LTSS department. RN will be responsible for providing case management... ...based on authorization and concurrent review. Provides monthly telephonic outreach to... ...appropriateness of treatment setting by utilizing the applicable medical policy and...SuggestedContract workRemote workMonday to FridayFlexible hours
$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...SuggestedHourly payPart timeRemote workSanta Barbara Cottage Hospital
New York, NY5 days ago- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three...SuggestedRemote workFlexible hoursWeekend workDay shift
The Judge Group, LLC
New York, NY3 days ago $122.91k - $188.02k
Healthfirst is seeking a Medical Peer Reviewer based in Pennsylvania to evaluate medical necessity as part of utilization management. The role requires collaboration with various medical departments and demands flexibility in workload. The hiring range is $122,907 to $1...Suggested- Healthfirst in New Jersey is seeking a Medical Peer Reviewer to support the CMO Administration by assessing requests for authorization... ...per week and paid time off; the team collaborates across Utilization Management, Care Management, and medical departments. #J-1880...
$140 - $145 per hour
...Oscar is hiring a Physician Reviewer to join our Utilization Management Team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This remote role is open...Hourly payRemote workWeekend workOscar
New York, NY5 days ago$35 - $43 per hour
...$35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote... ...– must reside in CA or hold an active CA RN license) Duration: 12 months (with... ...Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive...Remote workIMCS Group
New York, NY5 days ago- A leading healthcare provider in the United States is seeking a Physician to provide utilization review services. The successful candidate will utilize clinical expertise to review medical records and ensure compliance with guidelines. This role includes reviewing prior...
Dane Street
New York, NY23 hours ago - ...LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer guidelines. You will document workflows in EPIC, identify barriers in treatment...Shift workNight shiftWeekend work
100 LCMC Health
New York, NY2 days ago - ...A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with...Remote work
Medix
New York, NY5 days ago $34 - $40 per hour
...learn more. Base pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services. In this...Full timeRemote workMedix
New York, NY4 days ago$20 - $30 per hour
...A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include...Guidelight Health
New York, NY4 days ago$80 per hour
...part-time consulting opportunity for United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization workflows, documentation review, and healthcare operations.This...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours24-MAG LLC
New York, NY5 days ago- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract... ...Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This...Full timeContract workRemote work
- Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside in PA, DE... ...services. You’ll use advanced clinical judgment to review medical records, validate care plans, and authorize services...Immediate startRemote workWeekend workDay shift
$65 per hour
Job Title: Registered Nurse (RN) - Case Management Location: New York, NY 10037 Start... ...manage resources, and ensure appropriate utilization of healthcare services while maintaining... ...discharge planning. Conduct utilization review to ensure appropriate level of care and...Hourly payWeekly payLocal areaShift work- Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We are leaders in assisting front-line...Full timeContract workRemote work
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Full timeRemote workWork from home
ExamWorks
New York, NY3 days ago - ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
Solving IT
New York, NY5 days ago - ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical... ...position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
IntePros
New York, NY3 days ago - ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Full timeCasual workRemote workMonday to Friday
ExamWorks UM Strategies
New York, NY5 days ago - ...Orthopedic Spine Surgeon Reviewer Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel... ...and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering...Price workExtra incomeFor contractorsRemote workFlexible hours
- ...changes to the physician or non-physician provider as needed. 5. Utilizes input from patient, caregiver, MD and peers to devise a Nursing... ...of care as necessary, consistent with physician's orders. 7. Reviews and revises plan of care as necessary, consistent with...Full timePart time
NYCHH/Community Care
New York, NY3 days ago - ...experienced Board-Certified Orthopedic Surgeons for a fully remote, non-clinical position. Qualified physicians will conduct Utilization Reviews, providing objective, evidence-based opinions on treatment requests. Responsibilities include reviewing medical records and following...Remote jobExtra income
$31 - $35 per hour
Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member...Full timeRemote workFlexible hoursShift work- ...explains policies and procedures to patient/significant others, reviews patients chart and answers questions correctly and courteously;... ...care team members and to appropriate agencies;Recognizes and utilizes health teaching opportunities and resources /materials available...Hourly payLocal area
IntelyCare
New York, NY4 days ago - ...opportunity for a Charge Registered Nurse (RN) - Cardiac Telemetry/ Congestive Heart... ...possesses (advanced) clinical expertise and utilizes this expertise to support and promote the... ...communication (i.e., unit rounds, case reviews, peer review, etc.); just in time and planned...Full timeShift workNight shift
American Geriatrics Society
New York, NY5 days ago - ...assess and interpret member needs, guiding utilization of health services to improve outcomes.... ...collaborate with clinicians, perform case reviews, and support discharge planning from home... ...settings. Requirements include an active RN license, 3+ years acute/inpatient...Remote job
$34 - $35 per hour
Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse... .... Conducts telephonic and concurrent review of hospitalizations and extended outpatient... ...rater reliability reviews Qualifications RN license in an eNLC (Enhanced Nurse...Full timeWork at officeRemote workWork from homeNight shift
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