• Full - time Utilization

    St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
    …and Recovery Centers Location: Inpatient Facility - Saranac Lake, NY Position: Full - time Utilization Review Specialist Shift/schedule: Monday-Friday, ... mission and client care quality. Department Utilization Review Employment Type Full - Time Minimum...Department Utilization Review Employment Type Full - Time Minimum Experience Mid-level Compensation $22.00/hour to… more
    St Joseph's Addiction Treatment & Recovery Centers (04/15/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Buffalo, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Greater Binghamton Health Center, P26033 Occupational Category ... Street City Buffalo State NY Zip Code 13904 Duties Description As a Utilization Review Coordinator, your duties will include:* Reviewing clinical records for… more
    New York State Civil Service (05/01/25)
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  • Utilization Review Coordinator, (NY…

    New York State Civil Service (Bronx, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York City Children's Center - Bronx Campus, P25595 Occupational ... New York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency… more
    New York State Civil Service (04/05/25)
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  • Registered Nurse Care Manager Utilization

    Catholic Health (Buffalo, NY)
    Salary: 72,618.00-108,927.00 USD Facility: Sisters of Charity Hospital Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: ACE Associates Exempt from ... 8:00 am to 4:00 pm Summary: The Registered Nurse (RN) Care Manager- Utilization Review , as an active member of the Care Management and interdisciplinary care… more
    Catholic Health (05/01/25)
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  • Utilization Review Analyst-(OMH) RTS…

    Comunilife (Bronx, NY)
    Utilization Review Analyst-(OMH) RTS Program Job Details Job Location Bronx, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... Social Services Description Comunilife Inc. is looking for a Utilization Review Analyst. This position will support...position is eligible for Comunilife's generous benefits and paid time off package and is salaried up to $65,000… more
    Comunilife (04/29/25)
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  • Assistant Director of Case Management/…

    Mount Sinai Health System (New York, NY)
    …influence other services by focusing on patient processes. 9. Develops and implements Utilization Review (UR) based on internal data collection, data received ... the delivery of comprehensive front-line Case Management services, including utilization management, care facilitation and discharge planning. The Assistant Director… more
    Mount Sinai Health System (04/04/25)
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  • Utilization Management - Registered Nurse

    Crouse Hospital (Syracuse, NY)
    …RNs are eligible for up to a $20,000 Sign-On Bonus! Available Schedule(s): + Full Time : 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a ... and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
    Crouse Hospital (03/20/25)
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  • Utilization Case Manager

    Helio Health Inc. (Syracuse, NY)
    …degree preferred. + Licensed/credentialed applicants preferred. + Two years of experience in utilization review in a hospital, health care, or managed care ... of federal and state regulations applicable to treatment and reimbursement. + Utilization review procedures and techniques. Our Comprehensive Employee Benefits… more
    Helio Health Inc. (05/02/25)
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  • Asst Utilization Coordinator - Appeals

    WMCHealth (Valhalla, NY)
    …Nursing/Nursing Management Department: Clinical Care Management Union: Yes Union Name: NYSNA Position: Full Time Hours: 8am-4:30p Shift: Day Req #: 42301 Posted ... implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical… more
    WMCHealth (03/04/25)
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  • Registered Nurse Coordinator - Utilization

    Trinity Health (Syracuse, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** 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 payor contracts. The UM...in the UMCC department, gather and renew denial metrics, review and evaluate LOS O/E metrics for trends and… more
    Trinity Health (04/02/25)
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  • Patient Care Utilization Coordinator

    Seafield Center, Inc. (Westhampton Beach, NY)
    Title:Patient Care Utilization Coordinator ID:5712 Department: Utilization Review Location:Westhampton Beach Description Full - Time Opportunity ... Hours:40-hour week + Pay:$25.00 - $30.00/hr Benefits Available for Full - Time Employees: + Generous Paid Time...Program (401k) + 8 Paid Holidays MAIN FUNCTION: + Review appropriateness and clinical necessity of admissions, continued stays,… more
    Seafield Center, Inc. (04/02/25)
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  • Case Manager RN- Mount Sinai West- Full

    Mount Sinai Health System (New York, NY)
    …Masters preferred. + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + ... 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...on the most complex health care challenges of our time - discovering and applying new scientific learning and… more
    Mount Sinai Health System (04/22/25)
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  • Nurse Practitioner-Cardiothoracic Stepdown Unit-…

    Mount Sinai Health System (New York, NY)
    …**Job Title - Nurse Practitioner- Cardiothoracic Stepdown Unit - Mount Sinai Hospital - Full Time - Split Shift** A nurse practitioner (NP) as described in ... the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion...Ability to interpret and apply principles of nursing research utilization . + Ability to manage and coordinate a patient… more
    Mount Sinai Health System (05/10/25)
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  • Nurse Practitioner-Outpatient Oncology - Multiple…

    Mount Sinai Health System (New York, NY)
    …**Job Title: Nurse Practitioner-Outpatient Oncology - Multiple Myeloma - Mount Sinai Hospital - Full Time (4 10 hr shifts)- Day** A nurse practitioner (NP) as ... the plan of care. + Performs a patient record review with the collaborating physician in a timely fashion...Ability to interpret and apply principles of nursing research utilization . + Ability to manage and coordinate a patient… more
    Mount Sinai Health System (02/25/25)
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  • Nurse Case Manager: Full Time , DAYS

    Albany Medical Center (Albany, NY)
    …a changing environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve… more
    Albany Medical Center (05/08/25)
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  • Behavorial Health Quality Social Worker…

    Trinity Health (Troy, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Full Time - Behavioral Health Quality Social Worker** Samaritan Hospital Hybrid ... Position If you are looking for a full - time position in Social Services, this could...charts in accordance with NYS Office of Mental Health Utilization Review (UR) regulations to ensure that… more
    Trinity Health (04/15/25)
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  • OR Program Director/Physician Associate - Women's…

    Mount Sinai Health System (New York, NY)
    …coordinating with vendors and surgical teams on equipment, monitoring OR block time utilization , and participating in process improvement projects. The PA ... outcomes. **ADVANCING OR THROUGHPUT WITH EVIDENCE-BASED QUALITY IMPROVEMENT:** + Monitor block time utilization and track departmental case volume. + Create,… more
    Mount Sinai Health System (02/19/25)
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  • Staffing Office Coordinator-Mount Sinai Hospital-…

    Mount Sinai Health System (New York, NY)
    **Job Description** Jo **b Title: Staffing Office Coordinator-Mount Sinai Hospital- Full Time -Evenings-** The Staffing Office Coordinator is responsible for ... with union contract. + Assists the Supervisor and leadership in the preparation of time utilization analyses and reviews with Directors of Nursing and Nurse… more
    Mount Sinai Health System (04/15/25)
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  • Nurse Case Manager - Full Time

    Nuvance Health (Poughkeepsie, NY)
    …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management.Company: Vassar Brothers Medical Center Org Unit: 1190 ... from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned… more
    Nuvance Health (04/26/25)
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  • Director of Care Management - Mount Sinai Queens…

    Mount Sinai Health System (Long Island City, NY)
    …Description** The Director will direct and manage departmental activities involved in utilization review , appeals management and discharge planning to facilitate ... services by focusing on patient processes. 8.Develops and implements Utilization Review (UR) based on internal data...on the most complex health care challenges of our time - discovering and applying new scientific learning and… more
    Mount Sinai Health System (04/24/25)
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