- 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
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... York VA Medical Center is currently seeking a Registered Nurse - Referral Coordinator. The Registered Nurse ...religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected,… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The Nurse III Community ... with the Minimum Data Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. VA offers a comprehensive total rewards package: VA … more
- Kaleida Health (Williamsville, NY)
- …plans/care paths are addressed and met. Serve as liaison to ancillary and utilization review services, serve as communication link between health team members. ... Manage home referrals. Collaborate with Social Worker to ensure that barriers to discharge are managed,...degree in Nursing. Current NYS Registration as a Professional Nurse . Certified Case Manager (CCM) preferred. At least 3… 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… more