Utilization Review Coordinator
Kaleida Health - Buffalo, NY

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Job Description
Position responsible for coordinating utilization management efficiently and effectively while aligning patient needs with resources to meet quality, clinical and cost outcomes working to achieve optimal outcomes for the patient. Case review may occur in preadmission, ambulatory surgery, clinic, physician office and inpatient setting.

Minimum or Preferred Qualifications
Bachelors degree in Nursing. Current NYS Registration as a Professional Nurse. Certified Case Manager (CCM) preferred. At least 3 years of acute care, medical /surgical nursing experience required. Current experience (minimum of 2 years) discharge planning, case management , home care and utilization review required. Use of computer applications related to health care industry as well as MS Word, Excel, and Outlook. Knowledge of and experience with Interqual Criteria Set and Software Systems.

Kaleida Health - 20 months ago - save job - copy to clipboard
About this company
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Kaleida Health provides a kaleidoscope of services to residents of western New York. The health system operates five acute care hospitals...