Utilization Management Nurse jobs in Buffalo, NY

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Review Nurse (Managed Care)
Fidelis Care - 120 reviews - Buffalo, NY
The Utilization Management clinician makes coverage decisions based on specific criteria including Milliman....
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Case Manager RN - Tonawanda, NY
Experience in utilization review, concurrent review and/or risk management. Case Management experience. Registered Nurse, RN, case manager, case management,...
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Oncology Case Manager RN $3,000 Sign On Bonus - Tonawanda, N...
Case Management experience. Tonawanda, New York, NY, Oncology, Case Manager, RN, Registered Nurse, Cancer. Provide telephonic case management in a fast-paced,...
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Utilization Management Consultant

P.I.E. Analytics, Inc. - Buffalo, NY
Is seeking a part time Utilization Management (UM) consultant with a strong behavioral health background and 3+ years of experience as a UM Reviewer for...
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Utilization Review Nurse

Independent Health - 45 reviews - Buffalo, NY 14221
The Utilization Review Nurse (URN) performs clinical reviews to determine the medical necessity of requested services....

Case Management Facilitator - Part Time

Independent Health - 45 reviews - Buffalo, NY 14221
The Case Management Facilitator (CMF) acts as the liaison between Utilization Management and Case Management and Stop loss, facilitating the case management...

Utilization Review Coordinator

Kaleida Health - 93 reviews - Buffalo, NY
Current experience (minimum of 2 years) discharge planning, case management , home care and utilization review required....

Review Nurse (Managed Care)

Fidelis Care - 120 reviews - Buffalo, NY
The Utilization Management clinician makes coverage decisions based on specific criteria including Milliman....
Easily apply

Supervisor, Medical Management (PT, RN or LMSW)

Fidelis Care - 120 reviews - Buffalo, NY
Effectively manage staff that provide case management services. Effectively manage individuals who provide quality Case and Disease Management services to...

Case Manager,Registered Nurse - Care Management (CH)

Kenmore Mercy Hospital - 18 reviews - Kenmore, NY
Case Manager, Registered Nurse – Care Management (Catholic Heath). Site Manager for Care Management. National Certification in Case Management preferred....

Patient Service Representative - RN

Clarus Linens - Buffalo, NY
Educate nurses on linen utilization. Develop trusting relationships with hospital staff nurses, infection prevention nurses, and nurse managers in order to...

Manager Patient ManagementUtilization Review

Kaleida Health - 93 reviews - Buffalo, NY
3-5 years in Utilization, Discharge Planning, and Case Management. Previous experience in applying utilization and care management principles is required....

Service Coordinator

Fidelis Care - 120 reviews - Buffalo, NY
Complete care management documentation and perspective Utilization Management to ensure all necessary information and updates are recorded....
Patient Service Representative - RN
Clarus Linen Systems - Buffalo, NY
Educate nurses on linen utilization. Develop trusting relationships with hospital staff nurses, infection prevention nurses, and nurse managers in order to...
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Nurse Care Manager - Buffalo, NY
Landmark Health - Buffalo, NY
1-2 years of utilization management experience a must. Case management experience desired. The Nurse Care Manager (CM) Manager is responsible, as part of the...
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