Medical Review Nurse jobs in Buffalo, NY

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RN Inpatient Case Manager 1.0 FTE- Varied Shift - Relocation...
Presbyterian Healthcare Services - United States
Registered Nurse with Bachelors in nursing (BSN) plus five years utilization review or case management experience required....
Sponsored by Presbyterian Healthcare Services  - 30+ days ago
Health Management Utilization Management Senior Manager
Accenture 3,204 reviews - United States
Strong understanding and experience with Utilization Management services including Pre-Certification/Authorization, Concurrent Review, Capacity Management,...
Sponsored by Professional Diversity Network  - 8 days ago


Terrace View Long Term Care Facility - Buffalo, NY
A license and current registration to practice as a registered professional nurse in New York State and two (2) years of nursing experience in long term care...

Clinical Liaison\Patient Placement Coordinator

Walgreens 878 reviews - Orchard Park, NY
Reviews the patient’s medical record to obtain primary and secondary insurance payor information, and relays this to the intake department....

RN Case Manager

Brookdale Senior Living 380 reviews - Amherst, NY
3-5 years of current working experience in a nurse management role. Participates in personal service plan reviews with the management team, communities and...

Registered Nurses

Centers Health Care - Buffalo, NY 14209(Delaware-West Ferry area)
Registered Nurse - Sub-Acute Unit. Centers for Specialty Care Group is a group of leading providers of top quality medical care, rehabilitative treatment and...

Nurse Medical Coder

HealthNow New York Inc. 14 reviews - Buffalo, NY
Nurse Practitioner preferred. Review of simple and complex medical records to ensure complete and accurate ICD-9 and ICD-10 codes were submitted to the health...

Nurse Care Manager

Landmark Health - Buffalo, NY
Reviews medical information collected including medical records and/or performs additional assessment to facilitate medical necessity determinations regarding...

Clinical Documentation Specialist (CDS)

Kaleida Health 60 reviews - Buffalo, NY
Registered Nurse required. 5 years of experience in Patient Management, acute care, medical/surgical or ICU/ED as a licensed Registered Nurse required....

Utilization Management Nurse

Fidelis Care 84 reviews - Buffalo, NY
Review medical records to determine medical necessity based upon pre-determined Milliman Criteria. Effectively review medical records and make determinations....
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RN Rehab Specialist - Care Management (CH)

Kenmore Mercy Hospital 12 reviews - Kenmore, NY
Registered Nurse, licensed in New York State with BSN preferred. Communicates with the medical staff, hospital and agency personnel, and other departments....

Clinical Compliance Specialist

Independent Health 30 reviews - Buffalo, NY
Registered Professional Nurse preferred. For proper data review and analysis. Licensed Practical Nurse (LPN) in New York State required;...
Senior Clinical Solutions Specialist
Essence 12 reviews - United States
Proactively review and evaluate medical literature to provide a wide array of up to date medical recommendations/communications tailored according to...
Sponsored by Essence Group Holdings Corporation  - 29 days ago
Fidelis Care 84 reviews - Buffalo, NY
Care Manager Nurse. As a nurse at Fidelis Care, you will be a central member of our quality health care team....
Sponsored by WNY Jobs  - 19 days ago
Clinical Auditor RN or LPN
Healthfirst 102 reviews - United States
Registered Professional Nurse (RN) License. Experience in medical records review, claims processing or utilization/case management in a clinical practice or...
Sponsored by  - 12 days ago
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