Acute Utilization Review RN (Medicaid) - 249588 - Jericho

Impact Life is seeking a detail-oriented and mission-driven Utilization Review & Billing Specialist to support behavioral health programs. · Navigate insurance authorizations · Manage utilization review activities · ...

This individual will complete the full spectrum of activities related to Utilization or Quality reviews as assigned. · Conduct utilization reviews up to and including the appeal level. · Act as a resource for administrative staff in training and problem solving. · ...

Bronx Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed with mental illness. · ...

We are looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort of your own home as you will be responsible for the assessment of member needs and identification of solutions tha ...

The Utilization Review Nurse will assess member needs and identify solutions to promote high-quality health care services. · ...

The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions. This role ensures timely approvals and continued stay authorizations from insurance payers by effectively communicating clinical information and advocating for ap ...

The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack University Medical Center. · The physician provides direction and support ...

The Department of Case Management at SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review & Quality Assurance Senior Coordinator / Utilization Review Nurse. · The successful candidate will: · Report directly to the RN Case Management Manager.Revi ...

VillageCare is seeking a self-motivated RN Utilization Review Nurse for Full-Time position in hybrid model from home within New York Tri-State Area. · Reviews planned health care services to ensure medical necessity and effectiveness according to evidence-based criteria. · Freque ...

We are looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort of your own home. · Reviews planned, in process, or completed health care services to ensure medical necessity and ...

· Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the ...

RN- Utilization Review Nurse · Inpatient · *Hybrid* · Must reside within the New York Tri-State Area - NY, NJ, or CT · COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE · VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse ...

The Utilization Review Nurse processes prospective concurrent retrospective UM medical requests while ensuring compliance with SPD time frames clinical policies operational workflows. · Process prospective concurrent retrospective UM medical requests · Maintain monitor review the ...

This position involves processing prospective, concurrent, retrospective Utilization Management medical requests while ensuring compliance with clinical policies and operational workflows. · Maintain appropriate documentation of all services in keeping with all confidentiality an ...

REPORTS: Director of Utilization Review · DEPARTMENT: Clinical · LOCATION: George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035 · MAJOR FUNCTIONS: · Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid ...

· Company Description · One of the largest health benefits companies in the United States. Through its networks nationwide, the company delivers a number of leading health benefit solutions through a broad portfolio of integrated health care plans and related services, along wit ...

Lensa is a career site that helps job seekers find great jobs in the US. · We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · Lensa pa ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · Evaluating patient care cases per hour and collaborating with doctors. · ...

Lensa promotes jobs on LinkedIn on behalf of its direct clients. Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. · ...

Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · Insight Global is looking for Utilization Review Registered Nurse to sit remotely with one of their large health insuranc ...