Job Search is utilization review nurse in Manhattan, NY

Your search resulted in 282 "utilization review nurse" jobs in New York, NY. Save Job SearchSave SearchSave Job Search: utilization review nurse

Based on your search, we found the following results:

ICONMA

Registered Nurse-Review Analyst Our client, a health insurance company, is looking for a Registered Nurse-Review Analyst for their remote location. Requirements include two years of acute care experience with an unrestricted...

12/15/25

Emblem Health

Clinical Operations Summary of Position Support the department's quality of care and cost containment. Provide utilization management as needed to ensure coordination of health care delivery. Conduct medical...

12/15/25

City of New York

Case Review Specialist The Office of Child Support Services (OCSS) is recruiting four (4) Clerical Associate III's, functioning as Case Review Specialists. Under supervision of the Unit Supervisor of Data Integrity, with latitude for...

12/15/25

Twin Health

Virtual Intake Nurse At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin...

12/15/25

Integrated Healthcare Services

Integrated Healthcare Services is seeking a travel nurse RN Radiology for a travel nursing job in Long Island City, New York. Job Description & RequirementsSpecialty:...

12/20/25

Metasense

MetaSense, Inc. is seeking a travel nurse RN Case Management for a travel nursing job in Brooklyn, New York. Job Description & RequirementsSpecialty: Case...

12/23/25

Compass Healthcare Consulting and Placement

Compass Healthcare Consulting & Placement is conducting a search for an experienced RN Administrator for Admissions, Intake & Outreach for a Hospital located in the Bronx, NY. New York State Registered Nurse and Masters Degree in Nursing...

12/17/25

University Hospital

Case Management Coordinator The Case Management Coordinator plays a vital role in guiding patients through the healthcare system, ensuring their care is both clinically appropriate and aligned with their psychosocial needs. This...

12/15/25

Emblem Health

Clinical Position At EmblemHealth Coordinate intake functions with New York Independent Assessor (NYIA) clinical program for members who are requesting LTSS program enrollment. Complete Time Tasking Tool (TTT) for members who have a...

12/15/25

CarePoint Health System

Case Manager The Case Manager will work within an interdisciplinary team and collaborate with physicians, family members, nurses, and other hospital team members throughout the patient's continuum of care. The Case Manager will...

12/15/25

Molina Healthcare

For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM...

12/17/25

Cobble Hill Lifecare

RN-MDS Director RN-Director of MDS Full Time Cobble Hill Health Center is a not-for-profit long- and short-term care facility providing services to the disabled and elderly for over 40...

12/21/25

Chubb

Workers' Compensation Lost Time Senior Claim Examiner Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling...

12/17/25

VNS Health

Overview Manages and oversees the administration of a Behavioral Health Services (BHS) program, including the appropriate utilization and management of staff and the quality of program participants care with...

12/24/25

GQR Healthcare

GQR Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Summit, New Jersey. Job Description & RequirementsSpecialty: Acute Care...

12/25/25

Remote Staffing

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

12/23/25

Metasense

MetaSense, Inc. is seeking a local contract nurse RN Care Manager for a local contract nursing job in Summit, New Jersey. Job Description & RequirementsSpecialty: Care...

12/25/25

PRIDE Health

RN Case Manager / Utilization Review (Inpatient) Location: Brooklyn, NY 11212 Shift: Days, Monday–Friday 8:00 AM–4:00 PM; every other Saturday required (8:00 AM–4:00...

12/24/25

Prime Staffing

Prime Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Brooklyn, New York. Job Description & RequirementsSpecialty: ICU -...

12/13/25

StateJobsNY

Duties Description Bronx Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and efficiency of psychiatric and medical services provided to individual diagnosed with mental illness.

12/14/25

Abbott

Abbott Electrophysiology Business Opportunity In Abbott's Electrophysiology (EP) business, we're advancing the treatment of heart disease through breakthrough medical technologies in atrial fibrillation, allowing people to restore...

12/15/25

CorVel

Case Management Supervisor RN The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and...

12/15/25

RCM Healthcare Services

Weekend / Field RN / Coordinator of Care Salary:...

12/21/25

NYC Staffing

Clinical Territory Manager (CTM) Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's products to Health Care Professionals and patients. CTMs serve as the face of the company...

12/23/25

Healthfirst

Assessment Nurse The Assessment Nurse makes field assessment visits around downstate New York at intervals required by the Department of Health (DOH) and completes appropriate documentation to determine members' enrollment, service...

12/15/25

Talenthub Workforce

Job description: Our client, a large nonprofit hospice and palliative care company is seeking a qualified candidate to join their team. In this role, we are looking for someone who is a Registered Nurse in...

12/23/25

MJHS

Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with life-limiting conditions. We offer a broad range of services in the community or facility-based to help patients and their families ease...

12/14/25

Mount Sinai Health System - 1184 5th Ave

Certification DetailsBLSACLSPediatric Advanced Life Support (PALS)Job DetailsThe Pediatric Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality...

12/23/25

Las Vegas Staffing

Nurse Reviewer I This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life...

12/20/25

Hackensack Meridian Health

Clinical Research Nurse Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection...

12/24/25

Atlantic Partners Corporation

Our direct client is seeking a Director of Patient Care to join their team for a full-time, permanent opportunity. Job Summary: Oversees all clinical operations, performance improvement activities, training and...

12/15/25

NYU Langone Health

Clinical Research Coordinator * Must Have Experience With Oncology Clinical Trials * NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained...

12/20/25

Mount Sinai Health System - 1000 10th Ave

Certification DetailsBLSNYS RN LicenseJob DetailsThe Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a...

12/17/25

EngageWell IPA

To apply for this position, please send a Resume and Cover Letter to ...@engagewellipa.com . Please include "Senior Client Navigator Application" in the subject line. Applicants who only use the...

12/23/25

AMN Healthcare

Works with the Nurse Managers of assigned unit(s) and other members of Nursing Leadership to create an environment that supports professional practice standards. Integrates unit education, evidence based practice, quality outcomes and strategic...

12/13/25

AmeriHealth Caritas

Clinical Care Reviewer Join a mission-driven Utilization Management team where your clinical expertise helps shape better outcomes. We're hiring Clinical Care Reviewers across multiple specialtiesmedical and behavioral healthfor roles...

12/15/25

American Medical Staffing

American Medical Staffing is seeking a LPN / LVN Correctional for a travel job in Newark, New Jersey. Job Description & RequirementsSpecialty:...

12/19/25

TNAA TotalMed RN

TNAA TotalMed RN is seeking a travel nurse RN Oncology for a travel nursing job in Brooklyn, New York. Job Description & RequirementsSpecialty:...

12/16/25

One Brooklyn Health

Job Title Assumes responsibility and accountability for patient screenings; triage; pain management; falls prevention, nutritional and psychosocial, discharge planning and other interventions to restore, maintain or promote patients...

12/23/25

IICRC

Join Our National Team as a Full-Service Claim Estimator Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 300+...

12/18/25

Hudson

With a career at Hudson, you really benefit! We Offer: Health, dental and vision insuranceGenerous paid time off (vacation, flex or sick)401(k) retirement plan with company matchCompany paid life...

12/22/25

New York Presbyterian

Care of the Highest Quality: Clinical Managers Make It Possible Clinical Nurse Manager (RN) – Emergency Department - Nights Discover the epicenter of Critical Care Nursing and manage the...

12/22/25

HCS 247 Travel

HCS 247 Travel is seeking a travel nurse RN Med Surg for a travel nursing job in Bronx, New York. Job Description & RequirementsSpecialty: Med SurgDiscipline:...

12/24/25

TradeJobsWorkforce

Nurse Supervisor Job Duties: Accomplishes nursing human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring,...

12/15/25

Mitchell Martin Healthcare

Mitchell Martin Healthcare is seeking a travel nurse RN Pediatrics for a travel nursing job in New York, New York. Job Description & RequirementsSpecialty:...

12/12/25

FRESENIUS

About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team...

12/24/25

LVI Associates

Construction Project Manager: Renewable Energy Join a fast growing renewable energy developer as a Construction Project Manager. You'll lead utility- scale solar and storage projects from site assessment through commissioning, ensuring...

12/24/25

University of Miami

Utilization Review Case Manager The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work remotely. The incumbent conducts...

12/15/25

MJHS

12/24/25

Takeda Pharmaceuticals

Senior Medical Science Liaison, Solid Tumor As a member of Takeda Oncology, your work will contribute to our bold, inspiring vision: We aspire to cure cancer. Here, you'll build a career grounded in purpose and be empowered to deliver...

12/14/25

Odell Medical

Oncology Clinical Pharmacy Specialist – Northern New Jersey (On-Site) Where Precision Meets Purpose: Transform Lives Through Clinical Research Are You Ready to Make an...

12/23/25

SUNY Downstate Health Sciences University

Outpatient/Retail Staff Pharmacist Job No: 497080 Department: PHARMACY Local Title: Outpatient/Retail Staff Pharmacist Budget Title: Teaching Hospital Pharmacist Work Type:...

12/24/25

Atria Consulting

We are seeking a highly qualified candidate for a Clinical Certified Coder role within our client's Special Investigations Unit. The Clinical Coder will support the organization in the detection, prevention and investigation of suspected fraud,...

12/22/25

US Customs and Border Protection

Border Patrol Agent (BPA) - Experienced (GL-9 GS-11) NEW RECRUITMENT AND RETENTION INCENTIVES! Check out these higher-salaried federal law enforcement opportunities with the U.S. Customs and Border Protection. Your...

12/22/25

Jobot

Full time Visiting RN with $15,000 Sign on Bonus, 32 days off, Medical Dental and Vision and 401K This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand...

12/22/25

The Jewish Board

Commuter Differential: This role includes a $4,420 annual Commuter Differential for individuals working on Staten Island who do not reside on Staten Island. POSITION OVERVIEW: The Supervisor leads the Care Management team and is...

12/24/25

PRIDE Health

PRIDE Health is seeking a travel nurse RN Case Management for a travel nursing job in Brooklyn, New York. Job Description & RequirementsSpecialty: Case...

12/22/25

NYC Health + Hospitals

About NYC Health + Hospitals NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care...

12/22/25

St. Vincent's DePaul

Job Description Essential Functions • Organizes and administers the Department of Nursing. • Establishes objectives for the Department of Nursing and the organizational structure for achieving these...

12/12/25

BNY

Senior Vice President– Product Design Lead At BNY, our culture allows us to run our company better and enables employees' growth and success. As a leading global financial services company at the heart of the global financial system, we...

12/24/25

HonorVet Technologies

HonorVet Technologies is seeking a travel Clinical Lab Scientist (CLS) for a travel job in New York, New York. Job Description & Requirements Specialty: Clinical Lab Scientist (CLS)Discipline:...

12/24/25

New Jersey Staffing

Case Management Coordinator At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively seeking...

12/21/25

U.S. Army 1st Medical Recruiting Battalion

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

12/17/25

ChenMed

Primary Care Physician (PCP) We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the...

12/15/25

Provider Resources, LLC

Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation s Veterans. As a VA medical reviewer, you will conduct...

12/20/25

Med-Metrix, LLC

Manager, Case Management - Hospital Onsite Brooklyn, NY, USA Job Description Posted Friday, October 31, 2025 at 4:00 AM Job Purpose The Manager, Case Management is responsible for the day-to-day...

12/15/25

The Child Center of NY

Assistant Clinical Director (ACD) (LCSW) 2050 Dean St, Brooklyn, NY 11233, USA Job Description Posted Tuesday, October 14, 2025 at 4:00 AM The Child Center Residential Treatment Facility (RTF) The...

12/15/25

WellStar Health System

Wellstar CDI Data Analyst How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple,...

12/16/25

CircleLink Health

Circlelink Health Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In...

12/15/25

Tufts Medicine

Performance Improvement/Quality Role This role focuses on developing and implementing programs to establish, maintain, and improve patient quality care standards. In addition, this role focuses on performing the following Performance...

12/15/25

Arch Capital Group

Senior Claims Examiner With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is...

12/14/25

NYC JOBS

Contract Compliance Supervisor/Community Coordinator About the Agency: The NYC Department Housing Preservation & Development (HPD) promotes quality and affordability in the city's housing, and diversity and strength in the city's...

12/13/25

CareCentrix

Revenue Cycle Representative Reconsiderations As a Revenue Cycle Representative, Reconsiderations you will determine the acceptance of providers' payment through claims research, plans, eligibility and notes to determine if the payor...

12/14/25

PIMCO

PIMCO is a global leader in active fixed income with deep expertise across public and private markets. We invest our clients' capital across a range of fixed income and credit opportunities, leveraging our decades of experience navigating complex...

12/15/25

Maimonides Health

Maimonides Health Job Opportunity We're Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year through the system's three hospitals, 1800 physicians and healthcare professionals, more than 80...

12/15/25

eviCore healthcare

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services...

12/24/25

Phenom People

Endocrinology Nurse Practitioner Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient...

12/15/25

Honest Medical Group

Nurse Care Manager You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter youinstead, you see them as opportunities to find innovative solutions...

12/15/25

Newark Housing Authority

Records Management Specialist The below statements are intended to describe the general nature and scope of work being performed by this position. This is not a complete listing of all responsibilities, duties and/or skills required.

12/18/25

Indianapolis Staffing

Telephonic Nurse Case Manager II This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity,...

12/20/25

Tandym Group

A health services organization in New York City is currently seeking a new Licensed Practical Nurse (LPN) to join their growing Pediatric Care team at one of their Brooklyn facilities. Responsibilities: Screen...

12/24/25

Cedra Pharmacy

Retail Pharmacist at Cedra Pharmacy Inc Join our team at Cedra Pharmacy Inc in Bronx, NY and make a difference in the lives of our patients. As a Retail Pharmacist, you will play a crucial role in providing top-notch pharmaceutical care to our...

12/22/25

Acosta

Client Solutions Specialist The ideal incumbent for the Client Solutions Specialist position will possess very strong Excel skills, reporting and data analysis skills, writing skills, as well as project coordination and management...

12/15/25

SCO Family of Services

Social worker Interns Maintains relationships with families Utilize Solution-Based Casework-an evidence-based family support program that focuses on partnering with families to ensure the safety and well-being of children-to provide case...

12/15/25

RossRichter.com, LLC

Well-established Orthopedic Group seeks to add a full-time Physician Assistant to their team. The position will be focused on the clinic but also includes the OR (first assist). The Physician Assistant will support an Orthopedic Surgeon...

12/23/25

Tucson Medical Center

Job Title Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government,...

12/15/25

MD Staff, LLC

Family/Internal Medicine Physician Opportunity near LONG ISLAND CITY, NY We are actively seeking a dedicated Family or Internal Medicine trained physician to join our team, committed to delivering high-quality patient care. If you are passionate...

12/12/25

VNS Health

Overview Licensed Behavioral Health Clinicians provide supportive counseling, advocacy, education, and care management to help patients and their families navigate mental illness, access community resources,...

12/24/25

QBE Insurance

QBE Claims Adjuster At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities. It is our aim to continuously build a strong candidate pipeline across all our businesses and key...

12/15/25

US Tech Solutions

Prior Authorization Nurse Position Summary: As a prior authorization nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build...

12/15/25

CNA

Management Liability Underwriter You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something...

12/15/25

SafeHorizon

Essential Job Functions: Specific duties include but are not limited to: Assisting the program in the providing administrative support and operational tasks for the programGreet...

12/15/25

TD Bank

Audit Manager The Audit Manager is accountable for overseeing the planning and execution for audits covering discrete business units or functional corporate areas. The job will also oversee the Audit team performing the...

12/12/25

St. Johns Riverside Hospital

St. John's Riverside Hospital St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from...

12/18/25

AmSurg

Registered Nurse- Pre, Intra and Post Procedure Care Endoscopy AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology...

12/15/25

VillageMD

Job Description The RN Clinical Manager is responsible for administering, directing, planning and coordinating clinical, ACO and Medical Home activities in assigned departments. Supervises the clinical staff including Registered...

12/15/25

T Rowe Price

T. Rowe Price Job Opportunity At T. Rowe Price, we identify and actively invest in opportunities to help people thrive in an evolving world. As a premier global asset management organization with more than 85 years of experience, we...

12/19/25

Healthfirst

Clinical Auditor The Clinical Auditor performs audit functions for Healthfirst clinical teams (e.g. Care Management, Reassessment/Clinical Eligibility, Utilization Management, etc.) and delegated vendors and partners within internal...

12/15/25

JLL

Sustainability Analyst JLL empowers you to shape a brighter way. Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our...

12/24/25

CFS

Senior Accountant Compensation $35-40 per hour Benefits & Growth Gain exposure to high-impact government contract accountingWork directly with senior finance leadership and...

12/24/25

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