Utilization review nurse Jobs in Newark, NJ
Last updated: 10 hours ago
A company is looking for a Remote Utilization Review Nurse.Key ResponsibilitiesManage requests for medical services, ensuring they are medically appropriate and necessaryWork towards achieving high...Show moreLast updated: 10 hours ago
Natixis is a global leader in financial services, dedicated to delivering innovative solutions across Global Markets, Investment Banking, and Portfolio Management.
We are seeking a seasoned Vice Pre...Show moreLast updated: 22 hours ago
Th Utilization Review and Quality Assurance Senior Coordinator.Administrative, Nursing, Clinical.Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Healt...Show moreLast updated: 14 days ago
George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035.Since 1967, Odyssey House has gone beyond helping individuals beat drugs and alcohol.There’s more to r...Show moreLast updated: 5 days ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team.
Centene is a diversified, national organization offe...Show moreLast updated: 14 hours ago
The RN Utilization Management Nurse Coordinator is responsible for both concurrent and retrospective inpatient and outpatient services, in accordance with the utilization requirements and 3rd party...Show moreLast updated: 1 day ago
The challenges of affordable healthcare continue to create new opportunities.Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are exp...Show moreLast updated: 29 days ago
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career.
Established in 1984, CDPHP is a physicia...Show moreLast updated: 1 day ago
Overview Supervises and coordinates the day-to-day business operations of clinical and non clinical support activities, including monitoring internal processes, coordinating activities between the ...Show moreLast updated: 3 days ago
Outpatient - Prior Authorization.Full Time 100% Remote Opportunity •.COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!.
VillageCare is looking for a self-motivated and passionate R...Show moreLast updated: 12 hours ago
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.
This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
The Utilization Review Manager for the Selikoff Centers for Occupational Health is responsible for the management of program operations within a particular department / unit.This includes, but is not...Show moreLast updated: 20 days ago
Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG / InterQual, state / federal guidelines, bil...Show moreLast updated: 2 days ago
Elmhurst Hospital Center (EHC) is the major tertiary care provider in the borough of Queens.The hospital is comprised of 545 beds and is a Level I Trauma Center, an Emergency Heart Care Station and...Show moreLast updated: 14 hours ago
Thank you for considering Progyny!.Progyny is looking for a Utilization Management Coordinator to support all utilization review cases.
This coordinator will be directly responsible for reviewing an...Show moreLast updated: 28 days ago
Thank you for considering Progyny!.Traditional utilization management has been viewed by both patients and physicians as impediments to accessing appropriate medical care.We are seeking an intern t...Show moreLast updated: 12 hours ago
Utilization Review Nurse / Care Manager within a Healthcare system in NJ.It is 200 bed facility, which has been up to approx.
Clinical review submissions vary daily, pending census.Expectation is to c...Show moreLast updated: 30+ days ago
- Promoted
- New!
Florida Licensed Utilization Review Nurse
VirtualVocationsNew York, New York, United StatesFull-time
- Promoted
- New!
Loan Review Officer
Natixis Corporate & Investment BankingNew York, NY, United States$185,000.00–$215,000.00 yearly
Full-time
- Promoted
Utilization Review Nurse
SUNY Downstate Health Sciences UniversityNew York, NY, USFull-time
- Promoted
Utilization Review Specialist
Odyssey House INCNew York, NY, USFull-time
- Promoted
- New!
Utilization Review Clinician - ABA
Centene CorporationNew York, NY, United States$26.50–$47.59 hourly
Full-time
- Promoted
REGISTERED NURSE COORDINATOR - UTILIZATION MANAGEMENT
Trinity HealthNY, United States$41.85–$59.00 hourly
Full-time
- Promoted
Utilization Management Support Supervisor
MJHSNew York, NY, US$61,463.13–$73,755.75 yearly
Full-time
- Promoted
UTILIZATION REVIEW NURSE
Capital District Physicians Health Plan IncNY, United StatesFull-time
- Promoted
Clinical Supervisor, Utilization Management
VNS HealthNew York, NY, United States$93,400.00–$116,800.00 yearly
Full-time
- Promoted
- New!
Utilization Review Nurse - Outpatient
Village CareNew York, NY, USFull-time
Utilization Management Nurse Consultant
CVS HealthWork from hom, NY, US$29.10–$62.31 hourly
Remote
Full-time
- Promoted
CASE REVIEW SPECIALIST
City of New YorkNew York City, New York, USA MUST BE PERMANET IN THE CIVIL SERVICE CLERICAL ASSOCIATE TITLE OR IF YOU ARE HIRED PROVISIONALLY AS A CLERICAL ASSOCIATE YOU MUST TAKE AND PASS THE CLERICAL ASSOCIATE CIVIL SERVICE EXAM WHEN IT BEC...Show moreLast updated: 19 days ago
Utilization Review Nurse
Christian Health Care CenterNJ, US We have had the privilege of caring for those in need for more than a century.Founded on the belief that everyone has the right to exceptional care, today we continue to provide quality care and se...Show moreLast updated: 30+ days ago
- Promoted
Utilization Review Manager-Selikoff Centers for Occupational Health
Mount Sinai HospitalNew York, NY, USFull-time
- Promoted
Medical Claim Review Nurse (RN)
Molina HealthcareNew York, NY, US$26.41–$61.79 hourly
Full-time
- Promoted
- New!
Medical Utilization Review Analyst
NYC Health HospitalsNew York, NY, United StatesFull-time
- Promoted
Utilization Management Coordinator
PROGYNYNew York, NY, United States$38.00 hourly
- Promoted
- New!
Utilization Management Intern
ProgynyNew York, NY, US$40.00 hourly
Full-time
Utilization Review Nurse
MedixSecaucus, US$43.00–$48.00 hourly
Permanent
Florida Licensed Utilization Review Nurse
VirtualVocationsNew York, New York, United States10 hours ago
Job type
- Full-time
Job description
A company is looking for a Remote Utilization Review Nurse.Key ResponsibilitiesManage requests for medical services, ensuring they are medically appropriate and necessaryWork towards achieving high-quality, cost-efficient medical outcomes for patientsAssess requests for medical services based on medical necessity and adherence to clinical guidelinesRequired Qualifications2 years of experience in Utilization Management (UM)Active and clear Florida State RN nursing compact licenseMust reside in Florida