RN Utilization Review jobs in Amherst, NY

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RN Training Specialist
Fidelis Care - 126 reviews - Buffalo, NY
Evaluate staff performance with regard to quality reviews; One to three years Utilization Management experience in a Managed Care setting required....
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Director of Patient Care Services (DPCS, DON, RN, Registered...
InHome - United States
The DPCS will provide case management, implement and oversee the quality assurance program (including utilization review), be responsible for the overall...
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Medical Director
Oversees and completes peer review activities. Responsible for clinical oversight of Nurse Practitioners, Physician Assistants, and RN Supervisor....
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Utilization Review Nurse

Fidelis Care - 126 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. NYS RN Licensure required. The Utilization Management (UM) Clinician performs clinical reviews...

Utilization Review Nurse

Independent Health - 51 reviews - Buffalo, NY 14221
The Utilization Review Nurse performs clinical reviews to determine the medical necessity of requested services....

Nurse Care Manager

Landmark Health - Buffalo, NY
RN License, BSN preferred. 1-2 years of utilization management experience a must. Complete an initial member assessment on all new enrolled members, including a...

Jump Start Nurse or Clinician / Clinical Implementation Spec...

Vatica-Health - Buffalo, NY
New RN Grads Welcome To Apply!!*. Qualified candidates, including recent RN Grads, should send resumes with cover letters....
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Clinical Coordinator

Niagara Hospice Inc - Niagara Falls, NY
RN CareManager - Clinical Coordinator. Current NY State RN licensure. Ability to create, review and interpret treatment plans....

Registered Nurse / RN / Home Health

WILLCARE - 67 reviews - Buffalo, NY 14202 (Central Business District area)
Registered Nurse / RN / Registered Nurse / RN / Registered Nurse / RN / Registered Nurse / RN Registered Nurse / RN / Registered Nurse / RN / Registered Nurse /...

Supervisor, HARP Care Managers

Fidelis Care - 126 reviews - Buffalo, NY
LCSW, LMHC, RN, or Licensed Psychologist (Ph.D. The Supervisor, HARP Care Management, monitors the quality and productivity of HARP care managers relative to...

OPA Outreach Associate

BlueCross BlueShield of WNY - 3,448 reviews - Buffalo, NY
Determines what information should be communicated to RN, social worker; Identifies opportunities for office efficiencies, health plan partner services and tool...

RN* Medical Services Care Coordinator

Univera Healthcare - 8 reviews - Buffalo, NY
May perform clinical review telephonically or on-site, depending on customer. A minimum of one year’s recent Utilization Management, ICU/ED or Home Care...

RN* Medical Services Care Coordinator

Excellus BlueCross BlueShield - 23 reviews - Buffalo, NY
May perform clinical review telephonically or on-site, depending on customer. A minimum of one year’s recent Utilization Management, ICU/ED or Home Care...
Jump Start Nurse or Clinician / Clinical Implementation Spec...
Vatica-Health - Buffalo, NY
New RN Grads Welcome To Apply!!*. Qualified candidates, including recent RN Grads, should send resumes with cover letters....
Easily apply
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