- 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
- Evergreen Health (Buffalo, NY)
- …treatment adherence, and coordination with DOCCS Discharge Planning Unit (DPU), Senior Utilization Review Nurse (SURN), health services (HS), offender ... rehabilitation counselors (ORCs), other funded Linkage Specialists (LS) throughout the state and the community linkage specialists (CLS) in NYC + Conducts a comprehensive health/risk assessment for clients who resides and exits the correctional facility,… 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
- Catholic Health (Lewiston, NY)
- …Nights with Weekend and Holiday Rotation Hours: 7p-730am Summary: The Nurse Residency position offers training, education and professional development through a ... the Emergency Department (ED), Intensive Care Unit (ICU), or Telemetry. The nurse resident systematically and continuously assists in the collection and assessment… 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 ...Registered Nurse - Referral Coordinator. The Registered Nurse - Referral Coordination Team is responsible for executing… 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
- 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
- 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
- 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. ... Qualifications:** Bachelors degree in Nursing. Current NYS Registration as a Professional Nurse . Certified Case Manager (CCM) preferred. At least 3 years of acute… 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