Top 8 Rn utilization review Jobs in Irving, Ny

Remote RN Care Manager -NY Licensed Only
Xtreme Care —New York State
- $70,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Case Management Supervisor
Brooks TLC Hospital System, Inc. —Dunkirk, NY
- $40.87 - $57.69 an hour
- Full-time
- Nursing
- RN License
- Hospital
4d
Bilingual Remote RN Care Manager -New York State
Xtreme Care —New York State
- $70,000 - $75,000 a year
- Full-time
- Remote
- Nursing
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
MDS RN
Chautauqua Nursing and Rehabilitation Center —Dunkirk, NY
- $36 - $38 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Paid time off
Quick Apply
4d
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills

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RN Case Management Supervisor
Brooks TLC Hospital System, Inc. —Dunkirk, NY
Registered Nurse, with an unrestricted Registered Professional Nurse license in the state of New York required. Standard Hours Bi-Weekly : 75.00.
$40.87 - $57.69 an hour
4d
Registered Nurse Care Coordinator Sign on Bonus
Home Care and Hospice —Arcade, NY
Acceptable driver’s license and automobile available for use with current insurance. Current license and registration to practice nursing as a registered…
$65,000 - $79,000 a year
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Denials RN Coordinator
Ensemble RCM LLC —Columbus, OH
Extensive review of medical records for medical necessity criteria, filing written letters of appeal on denied claims, filing complaints with state Department…
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RN Case Manager - Case Management
Licking Memorial Hospital —Newark, OH
Graduate of an accredited school of nursing and licensed in the state of Ohio. The case manager is responsible for individualized management of hospital and…
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Remote RN Care Manager -NY Licensed Only

Xtreme Care -
New York State

Quick Apply

Job Details

Full-time
$70,000 - $75,000 a year

Benefits

Health insurance
Dental insurance
Paid time off

Qualifications

Nursing
RN License
Healthcare management
Registered Nurse (RN) License — New York

Full Job Description

Overview
PLEASE NOTE*******All candidates must have a NY RN license and registration and a permanent residency in NY, NJ or CT.

We are seeking a dedicated and highly skilled Registered Nurse Care Manager to join our healthcare team. This vital role involves coordinating comprehensive patient care, managing complex medical cases, and ensuring seamless communication across multidisciplinary teams. The ideal candidate will possess extensive clinical expertise, particularly in acute and post-acute care settings, with a focus on delivering exceptional patient-centered services. As a Registered Nurse Care Manager, you will play a critical role in optimizing patient outcomes through effective assessment, discharge planning, and utilization management.

Duties

Conduct thorough patient assessments, including vital signs, physiological evaluations, and medical history reviews to develop individualized care plans.
Coordinate inpatient and outpatient care services across hospital, clinic, and post-acute settings to ensure continuity of care.
Manage discharge planning processes by collaborating with physicians, case managers, and families to facilitate safe transitions from hospital to home or other facilities.
Oversee utilization management activities to ensure appropriate resource use while maintaining compliance with healthcare policies such as HIPAA.
Perform diagnostic evaluations and interpret medical records to support clinical decision-making and treatment adjustments.
Provide expert nursing care in specialized areas such as ICU, PICU (Pediatric Intensive Care Unit), Geriatrics, Behavioral Health, or Infectious Disease care as needed.
Engage in patient service initiatives by educating patients on health management strategies and promoting adherence to treatment plans.
Document all clinical interactions accurately within electronic medical records systems while adhering to confidentiality standards.

REQUIREMENTS

at least 1 year of experience as a Care Manager
an active RN license in NY State
Ability to speak English and at least one of these languages (Russian, Cantonese, Mandarin, Bengali Korean or Spanish)
Permanent residence in New York State, New Jersey or Connecticut
SALARY IS NON NEGOTIABLE 70-75K DOE

Pay: $70,000.00 - $75,000.00 per year

Benefits:

Dental insurance
Health insurance
Paid time off

Application Question(s):

Do you have a permanent residence in New York, New Jersey or Connecticut? This is a REQUIREMENT.

Experience:

Care Management: 1 year (Required)

Language:

English AND Mandarin, Chinese, Korean, Bengali, Russian (Required)

License/Certification:

RN License in New York state (Required)

Location:

New York State (Preferred)

Work Location: Remote

Quick Apply

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rn utilization review jobs in irving, ny

Remote RN Care Manager -NY Licensed Only

RN Case Management Supervisor

Bilingual Remote RN Care Manager -New York State

MDS RN

Appeals Professional III (Licensed Clinician)

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