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Keywords: Utilization Review Nurse, Location: New York City, NY

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Utilization Review Nurse

RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT... and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort...

Company: VillageCare
Location: New York City, NY
Posted Date: 07 Feb 2026

Clinical Evaluation Manager, Utilization Management, MLTC

, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost... reimbursement, CEU credits, and advancement opportunities What You Will Do: Conducts comprehensive review of all components...

Location: New York City, NY
Posted Date: 14 Jan 2026
Salary: $85000 per year

DME Review Coordinator

Medical Equipment (DME) Review Coordinator is expected to ensure high quality, cost-effective care, and services for Elderplan.../HomeFirst members through the processing, review, and authorization of Durable Medical Equipment. The DME Review Coordinator...

Posted Date: 16 Jan 2026
Salary: $51000 per year

Regional Senior Nurse - NYC/Brooklyn

Nurse for our Brooklyn and Manhattan office locations. The purpose of this position is to oversee and provide nursing... Reinforce EMR/EHR/ICS training. Assist Nursing Director with scheduling & staff utilization. Provide direct clinical...

Posted Date: 29 Jan 2026
Salary: $108000 per year

Care Manager – Registered Nurse - CRRN 0120IS

& Experience: Minimum of 5 years of clinical experience as a Registered Nurse. Experience with care coordination, utilization...Job Title: Care Manager – Registered Nurse (RN) Job Location: Bronx, NY 10461 Contract Length: 13 weeks Shift: Day...

Posted Date: 21 Jan 2026
Salary: $69 - 72 per hour

Care Manager – Registered Nurse - CRRN 0120IS

& Experience: Minimum of 5 years of clinical experience as a Registered Nurse. Experience with care coordination, utilization...Job Title: Care Manager – Registered Nurse (RN) Job Location: Bronx, NY 10461 Contract Length: 13 weeks Shift: Day...

Company: NavitasPartners
Location: The Bronx, NY
Posted Date: 21 Jan 2026
Salary: $69 - 72 per hour

Care Manager – Registered Nurse - CRRN 0120IS

& Experience: Minimum of 5 years of clinical experience as a Registered Nurse. Experience with care coordination, utilization...Job Title: Care Manager – Registered Nurse (RN) Job Location: Bronx, NY 10461 Contract Length: 13 weeks Shift: Day...

Posted Date: 21 Jan 2026
Salary: $69 - 72 per hour

Registered Nurse Case Manager -FlexStaff Contract

Job Category: Care Management and Social Work Services Job Description: Registered Nurse Case Manager - FlexStaff... hospitalization Performs concurrent utilization management using evidence based medical necessity criteria Submits data...

Posted Date: 08 Jan 2026

Nurse Supervisor

Supervisor Utilization Review will include, but not limited to the following: Oversee training and ensure competencies. Assist...Description Under the direction of the Associate Vice President of Nursing Services, Nurse Supervisor is responsible...

Company: HeartShare
Location: Brooklyn, NY
Posted Date: 17 Dec 2025

Case Management Nurse

) years prior Utilization Review/Case Management/Discharge. Planning/Quality Planning experience a must. PRI certification...Job Description: Overview The role of the Case Management Nurse coordinates and directs the patient care case...

Location: Brooklyn, NY
Posted Date: 15 Nov 2025

Registered Nurse/Care Manager

seeking a full-time Registered Nurse/Care Manager to join our team in our New York City location. ****$2,700 Sign-On Bonus... to benefit from community resources and referrals to outside agencies/programs when appropriate Performs medication review...

Company: Sun River Health
Location: Manhattan, NY
Posted Date: 15 Nov 2025
Salary: $45 - 52 per hour

Case Management Nurse

experience in an acute care setting. Critical care experience preferred. Minimum of three (3) years prior Utilization Review... both verbally and in writing. Skills: Knowledge of Federal, State and JCAHO guidelines for utilization review, discharge...

Location: Brooklyn, NY
Posted Date: 15 Nov 2025

Quality Improvement Specialist, Clinical

patient care review, including the design, testing and evaluation of the review methodology. Performs utilization and quality... across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous...

Company: VNS Health
Location: New York City, NY
Posted Date: 08 Feb 2026
Salary: $85000 - 106300 per year

Quality Improvement Specialist, Clinical

patient care review, including the design, testing and evaluation of the review methodology. Performs utilization and quality... across departments—including Care Management, Utilization Management, Provider Relations, Compliance, and Analytics—to sustain continuous...

Location: New York City, NY
Posted Date: 07 Feb 2026
Salary: $85000 per year

Clinical Liaison in Brooklyn

sources within the Brooklyn hospital system to expand our service line. Utilization Review: Conduct high-acuity Clinical...Join myLaurel as a Clinical Liaison in Brooklyn, NY. We are seeking a mission-driven Registered Nurse (RN), Social...

Company: myLaurel
Location: Brooklyn, NY
Posted Date: 06 Feb 2026

RN Care Manager – Emergency Department - 0204 RNCMNY

experience as a Registered Nurse Demonstrated experience in Care Coordination, Utilization Review, and Discharge Planning... care management operations within the Emergency Department. This role focuses on care coordination, utilization review...

Company: NavitasPartners
Location: New York City, NY
Posted Date: 05 Feb 2026
Salary: $2779.87 per month

Director Patient Care Services, Quality, Standards & Practice - Mount Sinai Brooklyn - Nursing Administration - Full-time - Day

improvement activities through effective utilization of services, initiation and maintenance of quality standards and program... development Directs the review, revision and development of Patient Care Services practices and standards of care Coordinates...

Posted Date: 05 Feb 2026
Salary: $218400 - 239200 per year

Assistant Patient Care Director - Operating Room

(or Assistant Manager, Clinical Services, or Assistant Nurse Manager) will support the oversight of the clinical and operational..., and resource utilization Maintain and update Arthroplasty and Spine materials in collaboration with PD Collaborate with PD...

Posted Date: 05 Feb 2026
Salary: $107000 per year

Clinical Evaluation Manager

, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost... reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts comprehensive review of all components...

Location: New York City, NY
Posted Date: 04 Feb 2026
Salary: $85000 per year

Clinical Evaluation Manager, Bilingual Mandarin/Cantonese preferred

, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate, timely and cost... reimbursement, CEU credits, and advancement opportunities What You Will Do Conducts comprehensive review of all components...

Location: New York City, NY
Posted Date: 04 Feb 2026
Salary: $85000 per year