utilization review nurse - mltc inpatient Jobs - 396


RightPro Staffing - Brooklyn,NY

RightPro Staffing is seeking a local contract nurse RN Home Health for a local contract nursing job in Brooklyn, New York. Job Description & RequirementsSpecialty: Home...

Date : 2025-03-18T06:35:25Z

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RightPro Staffing - Baldwinsville,NY

RightPro Staffing is seeking a local contract nurse RN Home Health for a local contract nursing job in Onondaga, New York. Job Description & RequirementsSpecialty: Home...

Date : 2025-03-18T06:33:23Z

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Department of Veterans Affairs - Syracuse,NY

SummaryDemonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations. Assumes responsibility for the coordination of care focused on patient education,...

Date : 2025-03-15T11:31:38Z

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SUNY Downstate Medical Center - Brooklyn,NY

The Department of Care Management at SUNY Downstate Health Sciences University is seeking a full-time Utilization Review Nurse / TH Utilization Review/Quality Assurance Senior Coordinator (Nights). The successful candidate will:* Complete and send...

Date : 2025-03-15T11:31:54Z

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Molina Healthcare - Syracuse,NY

**JOB DESCRIPTION****Job Summary**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, billing and coding...

Date : 2025-03-17T11:23:15Z

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VNS Health - New York,NY

Clinical Evaluation Manager, Utilization Management (mostly remote) Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care...

Date : 2025-03-19T00:32:57Z

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VALOR HEALTHCARE - Oswego,NY

Actively assists practitioners with patient care, physical examinations and ancillary tests. Practice specialized skills in patient assessment. Triages unscheduled patients requesting care. Acts as point person within PACT Team. Assists in co-managed...

Date : 2025-03-18T17:26:37Z

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StateJobsNY - Brooklyn,NY

Duties Description The candidate will clinically oversee a cluster of nurses in Brooklyn DDSO and be responsible for multiple sites and may function as a RN1 as needed. • Ensure nursing case management of multiple locations; caseload based...

Date : 2025-03-15T11:31:14Z

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Crouse Hospital - Syracuse,NY

Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We#ve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel...

Date : 2025-03-10T10:26:41Z

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VillageCare - New York,NY

RN- Utilization Review NurseInpatient* Full Time - 100% Remote Opportunity*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 for a Full-Time...

Date : 2025-03-14T13:15:03Z

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