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Utilization Review Jobs in New York

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Search Results - Utilization Review Jobs in New York
Mohawk Valley Health System-New York
years utilization review/case management experience or social work experience. Preferred:  •  Associate degree in healthcare related filed.  •  Bachelor’s degree is preferred.  •  Licensed professional nurse may be considered.  •  Bachelors or Masters Degree...
Engage Partners Inc.-New York
that are in compliance with regulatory requirements. This includes active participation in utilization review and incident review, conduct trending analysis to make recommendations and implement quality improvement.  •  Identify service gaps and produce concepts...
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Tempositions, Inc.-New York
certification inspections, utilization review and independent professional reviews as needed.  •  Attend nurses’ meetings when requested by supervisor.  •  Current NYS license and currently registered by NYS Department of Education and specialized training or one...
HonorVet Technologies-New York
to utilization reviews for a health plan or a combination of hospital and health plan case management Assessments that were all conducted telephonically and did not involve going into the home NOW RECRUITING RECRUITMENT DEADLINE COMPLIANCE DEADLINE EQUIPMENT...
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Institute for Community Living-New York
and comprehensive integration with other ICL programs.Ensure the development, implementation and monitoring of program quality assurance standards that are in compliance with regulatory requirements. This includes active participation in utilization review...
EBatiz-New York
JOB SCOPE: Responsible for performing and monitoring activities related to internal Utilization Reviews, including conducting case record reviews, drafting and distributing associated reports, and monitoring corrections when applicable...
smartsearchonline.com -
Elevancehealth-Morristown (NJ), 26 mi from New York
appropriate utilization of covered treatments and genetic testing.Participate in periodic physician team meetings.Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care.Participate...
Ambe Healthcare Staffing-Secaucus, 6 mi from New York
Candidate criteria: Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but...
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Mitchell Martin Inc.-Freehold (NJ), 34 mi from New York
description:  •  The Clinical Director is responsible for the supervision of the clinical staff. He/she consults with the CEO, Physician, and Utilization Review Department as needed.  •  The Clinical Director maintains close communication with the clinical staff...
mindmatch.ai -
Center For Discovery-Paramus, 16 mi from New York
Aside from managerial responsibilities, the Program Director carries a small caseload to provide individual, family and group therapy. The Program Director provides oversight of clinical documentation and Utilization Review matters. He/she ensures...
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