- 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
- Elderwood (Buffalo, NY)
- …regulations. + Prepare and present regular reports on quality, population health, and utilization management metrics. + Serve as a liaison between members and the ... measure the impact on quality indicators. + Conduct internal utilization audits and risk analysis. + Reviews requests for...productivity and identifies areas for improvement. + Monitor and review on-going tracking systems to ensure services are in… 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, coordinate patient/family education, ensure that accompanying… 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