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Care Review Clinician

Location : New York, NY
Job Type : Contract
Reference Code : 18786
Hours : Full Time
Required Years of Experience : 2+ Years
Required Education : Bachelor Degree in Nursing or Masters in Social Work
Travel : No
Relocation : No
Job Category : Healthcare - RNs & Nurse Management

Job Description :

Our client, a major Health System, is seeking a Case Manager in New York!

*Position is 100% remote, however, candidate must be located in the state of New York !

Shift: 8:30a-5p

Case Manager Job Responsibilities:

This is a Behavioral Health position. Desired candidate must have related experience!

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.

Case Manager Job Requirements:

  • 1-3 years of hospital or medical clinic experience

  • MUST have Behavioral Health CRC position; may be an RN with BH experience or a LMSW, LMHC

  • Must have experience with UM and Insurance Verification

  • Experience with MCG and LOCUS

  • New York State RN, or LMSW/ LMHC

For immediate consideration, please email updated resume to

Required Qualifications :
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