Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Utilization Review & Care Coordination

CH and Trinity, P.C.

Sisters of Charity Hospital in Buffalo, NY seeks a Registered Nurse, Utilization Review, to join the middle revenue cycle and interdisciplinary care team, delivering comprehensive UR in the hospital. The UR nurse collaborates with the care team to maintain appropriate levels of care, remove barriers to treatment, and manage third-party payer relationships and inquiries. BSN or RN with a BS, NYS RN license, CCM certification within one year, and UR criteria knowledge are preferred. #J-18808-Ljbffr CH and Trinity, P.C.

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Utilization Review & Care Coordination in Brooklyn, NY vacancy
  • MarinHealth is seeking a Utilization Review Nurse II to perform admission, concurrent and retrospective...  ...a BSN preferred, 3+ years of acute care experience, and experience with case...  ...role you will assess clinical stability, coordinate transfers for continued care, and... 
    Suggested

    Marin General Hospital

    Brooklyn, NY
    4 days ago
  •  ...Requirements include graduation from an accredited school of nursing, Indiana RN licensure with current BLS, and at least two years of hospital clinical experience. Preferred: utilization review, case management, discharge planning, DRGs, or CMS Swing Bed experience. We... 
    Suggested

    Pchospital

    Brooklyn, NY
    2 days ago
  • $110k

     ...Nyack, New York Department: Care Management Work Shift: Day Work...  ...are met and care delivery is coordinated across the continuum....  ...and with the most efficient utilization of resources. Carries out activities...  ...documentation for justification. Reviews the patient’s plan of care in... 
    Suggested
    Daily paid
    Full time
    Part time
    Flexible hours
    Shift work

    Montefiore Nyack

    Brooklyn, NY
    2 days ago
  •  ...Registered Nurse to join the Primary Care Team in Worcester, MA. This full-time position coordinates home health, quality improvement, and utilization review for center patients, ensuring timely...  ...documentation. The role requires MA RN licensure and a Bachelor’s degree in... 
    Suggested
    Full time

    Family Health Center of Worcester, Inc.

    Brooklyn, NY
    1 day ago
  •  ...pharmacists and other highly skilled health care professionals—UofL Health is focused...  ...: Position Summary and Purpose The Utilization Review RN performs activities which support the...  ...in the most appropriate level of care; coordinates care in conjunction with other members... 
    Suggested
    Work at office
    Shift work

    UofL Health, Inc.

    Brooklyn, NY
    2 days ago
  •  ...case management team with a strong focus on utilization review, ensuring compliant care and reducing unnecessary hospital stays....  ...collaborates across departments to optimize care coordination and outcomes. Requirements include RN license with BSN, UR/UR-related credentials... 

    Surgery Partners, Inc.

    Brooklyn, NY
    1 day ago
  •  ...our team as a day shift/variable, full time, RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center,...  ...utilizing all available resources. Recommends and coordinates timely transfers to appropriate levels of care as indicated by clinical needs and... 
    Full time
    Work at office
    Day shift

    INTEGRIS Health

    Brooklyn, NY
    2 days ago
  • Beyond Blue is seeking a Supervisor, Utilization Review to lead the daily operations of the utilization...  ...assurance. Responsibilities include coordinating with physicians, payers, and interdisciplinary teams to optimize patient care and reimbursement, delivering timely authorization... 

    BBSS Beyond Blue

    Brooklyn, NY
    2 days ago
  • Optum is seeking a Utilization Review Nurse (RN) to perform inpatient utilization management, applying evidence-based guidelines to determine medical...  ...role requires strong clinical judgment, documentation in care management systems, and collaboration with physician leadership... 
    Remote work
    Weekend work

    Texas Health Institute

    Brooklyn, NY
    4 days ago
  •  ...clinically orientated medical chart reviews and other administrative tasks...  ...of the medical center's utilization review plan, state and federal...  ...; three (3) years of clinical care or nursing experience; OR an equivalent...  ...OUR TEAM!! Utilization Review RN - Per Diem* *IMPORTANT NOTE:... 
    Hourly pay
    Daily paid
    Work experience placement

    Carson Valley Health

    Brooklyn, NY
    2 days ago
  •  ...Job Summary We are seeking an experienced Registered Nurse (RN) - Utilization Review to evaluate the medical necessity, appropriateness, and level of care for patients. The RN will review clinical documentation, apply established medical guidelines, and collaborate... 

    Orison Solutions

    East Elmhurst, NY
    6 days ago
  •  ...Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review...  ...Conducts pre-certification, care coordination for appropriateness of treatment,...  ...Health, Utilization Review Nurse, RN, Care Coordination, or Discharge Planning... 
    Temporary work
    Remote work
    Shift work

    Sentara Health Plans

    Brooklyn, NY
    2 days ago
  •  ...seeks an experienced Registered Nurse for Utilization Review to perform quality reviews, prior...  ...The role collaborates with physicians and care teams to ensure compliant, timely patient...  ...payors. The position requires an Alabama RN license, with a Bachelor's degree in Nursing... 

    University of South Alabama Health

    Brooklyn, NY
    13 hours ago
  • $66.83k - $111.38k

     ...Wisconsin, Wyoming. Job Responsibilities Utilization Review Nurse is responsible for utilizing...  ...certification, continued stay review, care coordination, or discharge planning for appropriateness...  .../Licensure: Registered Nurse (RN) License (Compact or Virginia) REQUIRED... 
    Permanent employment
    Full time
    Temporary work
    Remote work
    Shift work
    Day shift

    Sentara Health Plans

    Brooklyn, NY
    2 days ago
  • L.A. Care Health Plan in Los Angeles, CA is seeking a Utilization Management (UM) Claims Review Nurse RN II to evaluate medical claims for medical necessity, documentation, and proper coding. This role supports payment integrity through pre-payment and retrospective reviews... 

    L.A. Care Health Plan

    Brooklyn, NY
    3 days ago
  • $60.2k - $107.4k

    Optum is a global healthcare organization empowering care through technology. The Utilization Management Nurse role involves reviewing medical records, extracting case details, and crafting defensible appeal letters according to process instructions and guidelines. The... 
    Remote job
    Full time
    Monday to Friday

    Texas Health Institute

    Brooklyn, NY
    5 days ago
  • $77.02k - $117.58k

     ...Bay Times’ Top Workplaces. Summary The Utilization Review Nurse is responsible for performing initial...  ...medical necessity, appropriate level of care, and continued stay in accordance with...  ...Yes Minimum Licensure: Registered Nurse (RN) Minimum Licensure (Other): Knowledge of... 
    Full time
    Work at office

    SPEROS

    Brooklyn, NY
    2 days ago
  • $88.85k

     ...0(Mid.) -$142,166.00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by...  ...required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical... 
    Full time

    L.A. Care Health Plan

    Brooklyn, NY
    1 day ago
  • Hilo Benioff Medical Center is seeking an experienced Registered Nurse IV to join our Utilization Review team. This role ensures medical necessity and appropriate level of care while supporting reimbursement through clinical reviews. The ideal candidate brings strong clinical... 

    US Lawns

    Brooklyn, NY
    5 days ago
  • Work Shift The Utilization Reviewer performs concurrent, extended stay and retrospective...  ...issues and participates in coordination of individualized patient care services. The Utilization Reviewer...  ...Registration/Licensure: Current US state RN license with authorization to... 
    Work at office
    Shift work

    Houston Healthcare

    Brooklyn, NY
    1 day ago
  • Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective... 
    Remote job
    Full time
    Contract work

    Palo Verde Community College District

    Brooklyn, NY
    2 days ago
  • Comagine Health in Alabama is seeking Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective utilization reviews. This is a full-time remote role supporting Alabama contracts. You will... 
    Remote job
    Full time

    Comagine

    Brooklyn, NY
    1 day ago
  •  ...RN - Utilization Review Number of Positions: 1 Remaining Positions: 1 Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for... 

    Compu-Vision Consulting

    East Elmhurst, NY
    3 days ago
  • $55 - $65 per hour

     ...Registered Nurse With Utilization Review ExperienceA healthcare organization is seeking a Registered Nurse with utilization review experience...  ...in the Queens, NY area and requires an active New York State RN license. The ideal candidate will have experience reviewing healthcare... 
    Hourly pay
    Contract work

    ATRIA Consulting

    East Elmhurst, NY
    4 days ago
  •  ...RN - Utilization ReviewNumber of Positions: 1Remaining Positions: 1Duties: 1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position... 

    Compu-Vision Consulting

    East Elmhurst, NY
    5 days ago
  • INTEGRIS Baptist Medical Center in Oklahoma City, OK is seeking a day shift/variable, full-time RN Case Manager - Utilization Review. You will assess patients, coordinate transfers, and develop discharge plans to optimize resources and patient outcomes. Qualifications... 
    Full time
    Day shift

    INTEGRIS Health

    Brooklyn, NY
    2 days ago
  • RN - Utilization Review Shift: Days Shifts Per Week: 5 Scheduled Hours: 40 Start Date: 09/14/2026 End Date: 11/07/2026 Duration: 8 Week(s) City: Elmhurst State: NY VOCA Healthcare
    Shift work

    VOCA Healthcare

    Elmhurst, NY
    3 days ago
  • RN - Utilization Review Shift: 5 Day Shifts X 8 Hrs Start Date: 09/21/2026 End Date: 11/14/2026 Duration: 8 Week(s) City: East Elmhurst State: NY TALENT
    Shift work
    Day shift

    TALENT

    Flushing, NY
    1 day ago
  •  ...assigned authorizations for participant care, supplies, and other related needs. This...  ...discharge date, diagnosis, discharge location). Coordinate authorization information for all...  ...care environment, preferably in a utilization related role. Must have one year of experience... 
    Work at office

    Pace

    Brooklyn, NY
    2 days ago
  • $81.51k - $108.03k

     ...yr - $108,030 / yr Overview RN – MDS Coordinator Turn Clinical Expertise Into...  ...Outcomes. Shape Individualized Care. Make an Impact at West...  ...incomplete or untimely information. Review resident records, incidents,...  ...reflect current needs. Utilize clinical judgment and... 
    Temporary work
    Work at office
    Local area
    Shift work

    Elderwood Administrative Services

    Brooklyn, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Utilization Review & Care Coordination. Be the first to apply!