• Clinical Review Nurse

    Centene Corporation (New York, NY)
    …needed to discuss member care being delivered. + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... more
    Centene Corporation (02/13/25)
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  • Staff Nurse - Case Manager- Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …information requested by the managed care companies as part of the concurrent review in a timely fashion. * Provides clinical information requested by the ... more
    Mount Sinai Health System (01/15/25)
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  • Clinical Documentation Specialist, RN

    Hackensack Meridian Health (Neptune, NJ)
    …to transform healthcare and serve as a leader of positive change. The ** Clinical Documentation Specialist Registered Nurse (RN)** facilitates improvement in the ... more
    Hackensack Meridian Health (12/31/24)
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  • Registered Nurse Case Manager -Contract…

    Northwell Health (Staten Island, NY)
    **Req Number** 149225 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient ... more
    Northwell Health (01/29/25)
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  • Clinical Evaluation Manager, Utilization…

    VNS Health (Manhattan, NY)
    review of all components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical ... more
    VNS Health (02/05/25)
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  • Clinical Evaluation Manager (RN Care…

    VNS Health (Manhattan, NY)
    review of all components related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical ... more
    VNS Health (02/11/25)
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  • Clinical Research Coordinator

    Vitalief (New Brunswick, NJ)
    …in New Brunswick, NJ. Job Responsibilities: + Under the direct supervision of the Nurse Manager of Clinical Research Center (CRC), you will be responsible for ... more
    Vitalief (01/14/25)
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  • RN/Case Manager-MSH-Case Management-FT-Days

    Mount Sinai Health System (New York, NY)
    …information requested by the managed care companies as part of the concurrent review in a timely fashion. c. Provides clinical information requested by the ... more
    Mount Sinai Health System (01/01/25)
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  • Case Manager RN-Mount Sinai West- Full Time-…

    Mount Sinai Health System (New York, NY)
    …information requested by the managed care companies as part of the concurrent review in a timely fashion. 3. Provides clinical information requested by the ... more
    Mount Sinai Health System (12/25/24)
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  • Transition of Care, Discharge Planning Liaison (RN…

    VNS Health (Manhattan, NY)
    …of organizational or state-wide trends that affect utilization trends and the impact that concurrent review and a high-quality plan of care for discharge has on ... more
    VNS Health (01/11/25)
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  • Medical Director Specialty Medical Services…

    Molina Healthcare (New York, NY)
    …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... more
    Molina Healthcare (02/07/25)
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  • Medical Director (Medicare)

    Molina Healthcare (New York, NY)
    …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... more
    Molina Healthcare (02/09/25)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (Holmdel, NJ)
    …reviews for appropriateness of admission and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the ... more
    Hackensack Meridian Health (02/13/25)
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  • Uniform System Assessor-RN Remote in

    Molina Healthcare (New York, NY)
    …community and accessing and using durable medical equipment (DME). * Experience in utilization review , concurrent review and/or risk management a plus. * ... more
    Molina Healthcare (02/08/25)
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  • RN Case Manager, Inpatient

    Memorial Sloan-Kettering Cancer Center (New York, NY)
    …+ Assess discharge planning needs at the patient's admission + Perform regular concurrent review on all patients and coordinate all needed services including ... more
    Memorial Sloan-Kettering Cancer Center (01/29/25)
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  • Financial Counselor

    RWJBarnabas Health (New Brunswick, NJ)
    …coverage for patients professional visits and treatments. Updates insurance companies with concurrent review of information as necessary to obtain referrals or ... more
    RWJBarnabas Health (02/13/25)
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