• Utilization Management - Registered…

    Crouse Hospital (Syracuse, NY)
    …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage ... Schedule: Full Time: 8:00am-4:30pm, requires 6 weekends a year. Utilization Management Registered Nurse (RN)...Nurse (RN) license. + Graduate from an accredited nursing degree program required. + Bachelor of Science degree… more
    Crouse Hospital (09/25/25)
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  • RN, Manager, Utilization Management

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines… more
    Humana (09/28/25)
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  • RN Utilization Management - Acute…

    Trinity Health (Albany, NY)
    …in Albany, NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) per diem. The team is willing to ... Type:** Part time **Shift:** Day Shift **Description:** **RN for Utilization Management - Per Diem** **St. Peter's...grow into this wonderful opportunity to progress in their nursing career. We at St. Peter's Health Partners recognize… more
    Trinity Health (10/07/25)
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  • RN Utilization Management

    Trinity Health (Albany, NY)
    …differences often lead to innovative solutions. **Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme Days** ... **Description:** We at St. Peter's Health Partners recognize that nursing is one of the most challenging careers and...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
    Trinity Health (09/30/25)
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  • RN Utilization Management -Per diem

    Trinity Health (Albany, NY)
    **Employment Type:** Part time **Shift:** 12 Hour Day Shift **Description:** **RN Utilization Management -Per diem** If you are looking for an RN position in ... accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for...valid NYS RN license + Bachelor of Science in nursing , or willingness to purse defined plan for matriculation… more
    Trinity Health (10/07/25)
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  • Utilization Management

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
    Mount Sinai Health System (10/03/25)
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  • RN Utilization Review - System Care…

    Guthrie (Binghamton, NY)
    Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and ... with CPT/ICD coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such as… more
    Guthrie (10/04/25)
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  • Utilization Review Specialist - RN

    Rochester Regional Health (Rochester, NY)
    Job Title: Utilization Review Specialist (RN) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours (Full-Time) ... Days SUMMARY:The Utilization Review Specialist actively participates in the utilization management of patients and evaluating hospital admissions with the… more
    Rochester Regional Health (10/07/25)
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  • CHS Utilization and Appeals Coordinator

    Catholic Health Services (Melville, NY)
    Utilization and Appeals Coordinator will perform activities to help facilitate utilization management and appeals functions to include coordination of ... payment related activities. Position Responsibilities: + Prepares necessary documentation for utilization management and appeals processes, performs data … more
    Catholic Health Services (09/09/25)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for ... assigned patients. * Completes Utilization Management and Quality Screening for assigned patients.* Applies MCG criteria to monitor appropriateness of admissions… more
    Albany Medical Center (09/12/25)
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