RN Utilization Review jobs in Amherst, NY

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Clinical Consultant/ R.N.
Vatica Health - Buffalo, NY
The position will support these Users through regular case reviews and direct communication. Vatica Clinical ConsultantRegistered Nurses ( RN ) or Licensed...
RN Case Manager / Home Health **$5,000 SIGN ON BONUS
WILLCARE - 567 reviews - Buffalo, NY 14202
Appropriate utilization of services (Healing Pathways recommended frequencies); Responsible for continuous review and management of all aspects of the patient’s...
Social Worker MSW/LMSW/LCSW - Clinical Representative
The position will support these Users through regular case reviews and direct communication. The Vatica Health Clinical Consultant is responsible for driving...
Easily apply

Discharge Planning/ Utilization Review Registered Nurse

Eastern Niagara Healthcare System - Lockport, NY
We are currently seeking a Discharge Planning/ Utilization Review Registered Nurse. To expeditiously coordinate and direct the discharge and placement of...
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Specialist Behavioral Health Utilization Management

BlueCross BlueShield of WNY - 4,642 reviews - Buffalo, NY
NYS LMSW, LCSW, LMHC, or RN. CASAC or RN with Behavioral Health experience. Assists in containing the cost of health care services by detecting, resolving, and...

Registered Nurse- Utilization Management Medical Services Ca...

Univera Healthcare - 14 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...

Registered Nurse- Utilization Management Medical Services Ca...

Excellus BlueCross BlueShield - 32 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...

Health Care Advocate - RN

Nova Healthcare Administrators, Inc. - Williamsville, NY
Three (3) years of clinical RN experience in a med/surg or ambulatory care setting required. The nurse will also perform clinical utilization reviews to...
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Utilization Review Coordinator

Kaleida Health - 124 reviews - Buffalo, NY
Current experience (minimum of 2 years) discharge planning, case management , home care and utilization review required. Minimum or Preferred Qualifications....

RN Utilization Management

BlueCross BlueShield of WNY - 4,642 reviews - Buffalo, NY
NYS RN license is required. Assists in containing the cost of health care services by detecting, resolving and preventing improper utilization of member...

RN Nurse Medical Mgmt Inpatient/Outpatient UM

Anthem, Inc. - 2,359 reviews - Buffalo, NY
These are telephonic, remote (work from home) positions for experienced nurses with inpatient and outpatient utilization review experience....

Clinical Consultant/ R.N.

Vatica Health Inc - Buffalo, NY
The position will support these Users through regular case reviews and direct communication. Vatica Clinical ConsultantRegistered Nurses ( RN ) or Licensed...
Easily apply

Registered Nurse Care Coordinator

Mercy Hospital Of Buffalo - 42 reviews - Buffalo, NY
Prior homecare, long-term care, subacute or acute rehabilitation setting experience, or insurance utilization review experience in either a Case Manager or...
RN Care Coordinator-Home Health
2 – 4 years’ experience in utilization management required. The Registered Nurse will perform clinical and operational processes related to transition /...
Registered Nurse (RN) - Clinical Representative
The position will support these Users through regular case reviews and direct communication. The Vatica Health Clinical Consultant is responsible for driving...
Easily apply