Utilization Management RN jobs in Buffalo, NY

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RN Training Specialist
Fidelis Care - 126 reviews - Buffalo, NY
One to three years Utilization Management experience in a Managed Care setting required. The Clinical Trainer will be responsible for creating training...
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RN Clinical Manager ~ Community Health ~ Buffalo, NY
US HealthCare Careers - Buffalo, NY
RN must have experience in overall clinical structure management; Including organizational, scheduling and effective EMR utilization....
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Director of Resource Management-Hospital
Executive Search Associates Inc. - United States
Current STATE RN license; A Bachelor's Degree in Nursing or comparable experience is required with a current STATE RN license....
Sponsored by HealthAdministrationNationwide.com

Utilization Management Consultant

P.I.E. Analytics, Inc. - Buffalo, NY
RN. 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

Fidelis Care - 126 reviews - Buffalo, NY
The Utilization Management clinician makes coverage decisions based on specific criteria including Milliman. NYS RN Licensure required....

Clinical Manager-Utilization Management

Independent Health - 50 reviews - Buffalo, NY 14221
Utilization/Medical Management Certification preferred. Excellent organizational, time management and leadership skills....

RN Care Manager

Weinberg Campus - Amherst, NY
The RN Nurse Care Manager is responsible for:. JOB REQUIREMENTS A current NY RN Nursing License At least 3 5 years of clinical experience as an RN, working with...

Nurse Care Manager

Landmark Health - Buffalo, NY
1-2 years of utilization management experience a must. RN License, BSN preferred. Meet with families/responsible parties for collaboration on member plan of...

RN Medical Management Auditor

Fidelis Care - 126 reviews - Buffalo, NY
Background in case management, disease management, discharge planning, performance improvement and data analysis....

RN* Medical Services Care Coordinator

Univera Healthcare - 8 reviews - Buffalo, NY
A minimum of one year’s recent Utilization Management, ICU/ED or Home Care experience preferred. Performs other functions as assigned by management....

RN* Medical Services Care Coordinator

Excellus BlueCross BlueShield - 23 reviews - Buffalo, NY
A minimum of one year’s recent Utilization Management, ICU/ED or Home Care experience preferred. Performs other functions as assigned by management....

Care Management Advisor- CMP ( CH)

Administrative Regional Training Center - 23 reviews - Buffalo, NY
Director Care Management CMP. Office practice management experience preferred. The Care Management (CM) Advisor is responsible for implementing Catholic Medical...

Long Term Support Services Coordinator - RN Clinician

Anthem, Inc. - 1,773 reviews - Buffalo, NY
Requires an RN; 3-4 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case...
Medical Director
Medical management experience. Also participates in population based care management, public health efforts, and provides guidance in the appropriate...
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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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