Top 22 Utilization review nurse Jobs in Long Island Ny

Hybrid Inpatient Case Manager
Everly Talent LLC —Garden City, NY
- $95,000 - $105,000 a year
- Hybrid work
- Nursing
- RN License
- Inpatient
Quick Apply
2d
Utilization Review and Appeals Case Manager
Stony Brook University Hospital —Stony Brook, NY
- $89,760 - $127,975 a year
- Online Application
- Bilingual
- Nursing
- RN License
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
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
RN | Care Manager – Per Diem Eves – 3+ yrs Acute Care exp req’d
Mount Sinai South Nassau Hospital —Nassau County, NY
- $57.18 - $69.18 an hour
- Part-time
- Acute care
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN / UAS Evaluators – LTC - Hybrid schedule- $56.50/hr.
Med-Scribe, Inc. —New York State
- $56.50 an hour
- 8 hour shift
- Hybrid work
- Background check
- Nursing
- RN License
- Paid holidays
- Health insurance
Quick Apply
CHS Utilization and Appeals Manager
Catholic Health —Melville, NY
- $110,000 - $150,000 a year
- Nursing
- RN License
- Word processing
- Health insurance
- Tuition reimbursement
Clinical Reviewer (RN)
ISLAND PEER REVIEW ORGANIZATION INC —Jericho, NY
- $38.46 - $43.27 an hour
- Full-time
- Nursing
- RN License
- Writing skills
Quick Apply
Care Manager PD
Mount Sinai South Nassau Hospital —Oceanside, NY
- $57.18 - $69.18 an hour
- Evening shift
- Nursing
- RN License
- Hospital
Registered Nurse Care Manager (Medicine - Infectious Disease)
Northwell Health —Manhasset, NY
- $60.56 - $93.97 an hour
- Full-time
- Nursing
- Psychiatry
- RN License
Hub Manager - Care Coordination ( RN ) Per Diem
Catholic Health —Port Jefferson, NY
- $48.67 - $69.00 an hour
- Per diem
- Nursing
- RN License
- Hospital
Care Manager (RN) **Hospital Care Management Experience Highly Preferred** (Sunday-Thursday, 8:00AM-4:00PM)
NYU Langone Health —Mineola, NY
- $147,153.96 - $180,190.08 a year
- Online Application
- Acute care
- Nursing
- RN License
- Wellness program
10d
Registered Nurse Care Manager (Pediatric)
Northwell Health —Melville, NY
- $90,000 - $145,000 a year
- Full-time
- Nursing
- Psychiatry
- RN License
Nurse Case Manager, Inpatient UM RN
HealthCare Partners, MSO —Garden City, NY
- $95,000 - $105,000 a year
- Full-time
- Acute care
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Disability insurance
2d
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Utilization Review Specialist
Odyssey House INC —New York, NY
Stay abreast of new developments in the field of Quality Assurance/Improvement as related to substance use disorder and mental health treatment, recommend new…
$65,000 - $75,000 a year
Quick Apply
Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
Maintain an understanding of utilization management, program objectives and design, implementation, management, monitoring, and reporting.
$68,040 - $118,800 a year

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MDS Coordinator - LVN/RN
Paradigm at Creekside —Gahanna, OH
Must possess a current, unencumbered, active license to practice as a Licensed Practical Nurse or Registered Nurse in the State.
Quick Apply
Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply

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utilization review nurse jobs near long island ny

Hybrid Inpatient Case Manager

Everly Talent LLC
Garden City, NY

Quick Apply

Job Details

$95,000 - $105,000 a year
2 days ago

Qualifications

Inpatient experience
RN License
Acute care facility experience

Full Job Description

A growing healthcare organization focused on delivering high-quality, patient-centered care management and utilization services across complex populations. This is an opportunity to join a collaborative team environment with strong leadership support, a hybrid work model, and a focus on improving patient outcomes and care transitions.

Job Description:
The Nurse Case Manager, RN (Inpatient) is responsible for coordinating high-quality, cost-effective, and medically appropriate care for hospitalized patients. This role focuses on concurrent review, utilization management, discharge planning, and care transitions to support safe and timely movement across levels of care.

The Inpatient Case Manager collaborates closely with physicians, nurses, social workers, and interdisciplinary teams to optimize patient outcomes, reduce avoidable readmissions, and ensure appropriate utilization of healthcare resources.

Key responsibilities:

Performing admission and concurrent review using MCG guidelines to assess medical necessity and level of care
Coordinating discharge planning and transitions to post-acute care settings
Collaborating with interdisciplinary teams to develop safe and effective care plans
Identifying barriers to discharge and implementing care coordination strategies
Supporting regulatory compliance, utilization management, and quality improvement initiatives
Facilitating care conferences and interdisciplinary rounds
Ensuring timely documentation and adherence to organizational and payer requirements

Qualifications:

Active NYS RN license required
BSN preferred
3–5+ years of acute care hospital experience required
Prior experience in inpatient case management, utilization management, or care coordination strongly preferred
Strong knowledge of MCG guidelines, discharge planning, and transitions of care
Excellent communication, organizational, and critical thinking skills

Compensation: $95,000 – $105,000 base salary plus bonus potential

Quick Apply

Refine Your Search

utilization review nurse jobs in long island ny

Hybrid Inpatient Case Manager

Utilization Review and Appeals Case Manager

Remote RN Care Manager -NY Licensed Only

Bilingual Remote RN Care Manager -New York State

RN | Care Manager – Per Diem Eves – 3+ yrs Acute Care exp req’d

RN / UAS Evaluators – LTC - Hybrid schedule- $56.50/hr.

CHS Utilization and Appeals Manager

Clinical Reviewer (RN)

Care Manager PD

Registered Nurse Care Manager (Medicine - Infectious Disease)

Hub Manager - Care Coordination ( RN ) Per Diem

Care Manager (RN) Hospital Care Management Experience Highly Preferred (Sunday-Thursday, 8:00AM-4:00PM)

Registered Nurse Care Manager (Pediatric)

Nurse Case Manager, Inpatient UM RN

Medicaid Medical Review RN (Medical Reviewer III)

Utilization Management Reviewer

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