RN Utilization Review jobs in Amherst, NY

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Utilization Management (UM) Review Nurse
Imagine Staffing - Buffalo, NY
The Utilization Management (UM) Review Nurse performs chart reviews to determine medical necessity of... on the medical review process. The review nurse makes...
Sponsored by Imagine Staffing - 22 days ago
Manager, Behavioral Health Care/Utilization Mgmt. (HARP)
Healthfirst 64 reviews - United States
and Recovery Plan) Utilization (UM) and Care (CM... in a medical management department in Utilization Review capacity. Knowledge of applicable Center for...
Sponsored by Healthfirst - 9 days ago
Quality Management Nurse Analyst
United Health Services 32 reviews - United States
medical staff peer review, quality and patient safety... statistical analysis from clinical databases for utilization by leaders and managers for assessment...
Sponsored by Doostang - 16 days ago

Clinical Applications Specialist

Liberty Solutions, Inc. - Orchard Park, NY
of new releases of clinical applications/interfaces; reviews data and file layout structure; conducts file... clinical user clients in utilization of new internal...
13 hours ago - save job - block - email - more...

Utilization Management (UM) Review Nurse

Imagine Staffing - Buffalo, NY
The Utilization Management (UM) Review Nurse performs chart reviews to determine medical necessity of... on the medical review process. The review nurse makes...
22 days ago - save job - block - email - more...

Full Time RN Case Manager/Utilization Review

Niagara Falls Memorial Medical Center 11 reviews - Niagara Falls, NY 14302
Full Time RN Case Manager/Utilization Review The requirements for this position include: RN with a strong... denial management, utilization management, discharge...
Monster - 13 days ago - save job - block - email - more...

Utilization Review Nurse (RN)

Fidelis Care 59 reviews - Getzville, NY
The Review Nurse (UM) performs clinical reviews to... also provide education on the medical review process. The review nurse makes coverage decisions based on...
Miracle Workers - 27 days ago - save job - block - email - more...

Nurse Care Manager

Landmark Health - Buffalo, NY
and/or Experience: RN License, BSN preferred 2-3 years of clinical practice in a hospital, clinic, home care, or nursing home setting 1-2 years of utilization...
28 days ago - save job - block - email - more...

Project Director; RN Utilization Review Coordinator

Niagara Falls Memorial Medical Center 11 reviews - Niagara Falls, NY 14302
care. RN BSN with discharge planning experience required. RN Utilization Review Coordinator: Full Time... community based services. RN with discharge planning...
Monster - 6 days ago - save job - block - email - more...

RN - Clinical Analyst

HealthNow New York Inc. - Buffalo, NY
preventing improper utilization of member benefits... and present proactive, ongoing review of targeted health care utilization analyses to identify employer...
30+ days ago - save job - block - email - more...

Nurse Investigator

HealthNow New York Inc. - Buffalo, NY
Job Duties: Thorough review of voluminous, complex... to review audit issues Maintains close communication with colleagues in Utilization Management, Network...
30+ days ago - save job - block - email - more...

Registered Nurse Coordinator

Mercy Hospital Of Buffalo 9 reviews - Buffalo, NY
of experience in utilization review in an acute care... utilization review experience in a healthcare insurance company, or three (3) years of utilization review...
Catholic Health System - 30+ days ago - save job - block - email - more...

Dialysis RN Clinical Manager Tonawanda NY

Fresenius Medical Care 761 reviews - Tonawanda, NY
acts as the initial RN Case Manager for disease... inventory supply use analysis. Reviews and approves facility payroll. Reviews profit and loss statements...
20 days ago - save job - block - email - more...
Nurse Practitioner- Spanish Speaking -Optum, a United Health...
UnitedHealth Group 1,384 reviews - Buffalo, NY
the nursing staff and the patients' families. . Work with the facility's utilization review process. . In this role, you'll also explore and learn more about...
Sponsored by UnitedHealth Group - 7 days ago
Utilization Review Nurse (RN)
Fidelis Care 59 reviews - Getzville, NY
The Review Nurse (UM) performs clinical reviews to... also provide education on the medical review process. The review nurse makes coverage decisions based on...
Sponsored by CareerBuilder - 25 days ago
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Company with RN Utilization Review jobs
64 reviews
Healthfirst, one of the fastest growing health plans in New York & New Jersey, provides high-quality healthcare to over 900,000 members.
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