- Independent Health (Buffalo, NY)
- …first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Utilization Review Nurse performs clinical reviews to determine ... of clinical experience in acute hospital care and/or three (3) years of utilization review experience required. + Previous experience in managed care preferred.… more
- Travelers Insurance Company (Buffalo, NY)
- …**What Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for ... do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual...to the compensable injury and for adhering to multi-jurisdictional Utilization Review criteria. **What Will You Do?**… more
- New York State Civil Service (Buffalo, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Buffalo Psychiatric Center, P25397 Occupational Category Health ... Code 14213 Minimum Qualifications Buffalo Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness,… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Community Living Center (CLC) ... Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience,...Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score.VA offers a comprehensive total rewards… more
- Elevance Health (Buffalo, NY)
- …years acute care clinical experience is required. **Preferred Qualifications** + Previous utilization review / utilization management experience in a managed ... **: Monday - Friday, 8am - 5pm, EST.** The Nurse Medical Management I is responsible to collaborate with...are not limited to: + Conducts pre-certification, continued stay review , care coordination, or discharge planning for appropriateness of… more
- Catholic Health (Buffalo, NY)
- …(2) years acute care and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or ... - 4pm and 10am - 6pm Summary: The Registered Nurse (RN) Care Manager-Transition of Care, as an active...Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New… more
- Kaleida Health (Williamsville, NY)
- …2 years of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set ... with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working to achieve… more
- Kaleida Health (Buffalo, NY)
- …2 years of experience in any combination of case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set ... with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working to achieve… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …G45-3 & II-G45-4. The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- New York State Civil Service (West Seneca, NY)
- …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... level psychologist, licensed psychologist, licensed physician, licensed psychiatrist, psychiatric nurse practitioner, or licensed clinical social worker (or in the… more
- Kaleida Health (Buffalo, NY)
- …2 years of experience in any combination of: case management, home care and utilization review preferred. Knowledge of and experience with Interqual Criteria set ... and software systems preferred. 2 years of supervisory experience preferred. Registered Nurse upon hire required. Certified Case Manager (CCM) preferred. Master of… more