Medical Review Nurse jobs in Buffalo, NY

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RN Case Manager
WILLCARE - Buffalo, NY
One (1) year experience in medical / surgical nursing required. Adhere to the scope of practice for Registered Professional Nurse per State regulatory...
Sponsored by WILLCARE - 17 days ago
Preservice Review Nurse RN - Tonawanda, NY
UnitedHealth Group 1,987 reviews - Tonawanda, NY
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...
Sponsored by UnitedHealth Group - 9 days ago
Clinical Review Registered Nurse - 026138
Adecco USA 4,463 reviews - Buffalo, NY
Review medical records to determine medical necessity based upon pre-determined Milliman Criteria. Clinical Review Registered Nurse job responsibilities include...
Sponsored by Adecco USA - 30+ days ago

Clinical Quality Review Nurse

Independent Health 30 reviews - Buffalo, NY
The Clinical Quality Review Nurse shall be responsible for medical record reviews for member quality complaints, HEDIS/QARR, credentialing and other focused...

QUALITY IMPROVEMENT RN/COORDINATOR/INVESTIGATOR

People Inc 47 reviews - Williamsville, NY
Completes all death investigations, which includes a through medical review and medical timeline. Completes investigations for all deaths, which includes a...

Preservice Review Nurse RN - Tonawanda, NY

UnitedHealth Group 1,987 reviews - Tonawanda, NY
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Milliman, Interqual, Managed Care, Insurance, Case Management, Case...

Nurse Allocator

Franco Signor - Buffalo, NY
Completes comprehensive review of medical records and composes detailed reports outlining needed future medical costs....

Registered Nurse Medical Management Auditor - 026138

Adecco USA 4,463 reviews - Buffalo, NY
A Registered Nurse Medical Management Auditor job in Buffalo, New York, is now available courtesy of Adecco Medical & Science....

Medical Field Reviewer

Altegra Health 74 reviews - Buffalo, NY
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Medical Field-Based Chart Reviewer/Collector (RN/LPN/CNA/MA)

Inovalon 102 reviews - Akron, NY
Registered Nurse or LPN, CNA or Medical Assistant; Scan relevant components of the medical record to support reviews performed;...

Nurse Investigator

HealthNow New York Inc. 14 reviews - Buffalo, NY
Thorough review of voluminous, complex medical records to determine:. (10%) Meeting with BCBS medical directors and physician consultants to review audit issues...

RESEARCH COORDINATOR-SURGERY/TRAUMA

Erie County Medical Center Corporation - Buffalo, NY
Good knowledge of medical record review and procedures in a health care environment; Collects accurate medical and demographic history on research subjects;...

Clinical Documentation Specialist (CDS)

Kaleida Health 56 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....
Registered Nurse Supervisor (Home Care)
Venture Forthe - Buffalo, NY
Field Registered Nurse Supervisor*. Conducts on-site competency review as part of supervision activities. Reviews and responds to complaints, grievances and...
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Sponsored by Venture Forthe - 30+ days ago
RN Full Time Day Shift\Niagara Falls
Fresenius Medical Care 1,126 reviews - Niagara Falls, NY
Staff Registered Nurse. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System....
Sponsored by Fresenius Medical Care - 11 days ago

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