Utilization Review Nurse jobs in Amherst, NY

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RN Nurse Medical Mgmt Inpatient/Outpatient UM Teleworker Wor...
These are telephonic, remote (work from home) positions for experienced nurses with inpatient and outpatient utilization review experience....
RN Case Manager / Registered Nurse / Home Health - $5,000 SI...
WILLCARE - 519 reviews - Buffalo, NY 14202
Appropriate utilization of services (Healing Pathways recommended frequencies); Adhere to the scope of practice for Registered Professional Nurse per State...
Registered Nurse (RN) Clinical Nurse Consultant
Registered Nurse (RN). A Registered Nurse (RN) with at least 1 year of experience. The position will support these Users through regular case reviews and direct...
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RN Utilization Management

BlueCross BlueShield of WNY - 4,134 reviews - Buffalo, NY
License Registered Nurse. Assists in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits...

Utilization Review Nurse (RN)

Independent Health - 64 reviews - Williamsville, NY
Previous utilization review experience preferred. Independent Health is looking for a Utilization Review Nurse with the following qualifications:....
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Utilization Review Nurse

Travelers - 905 reviews - Buffalo, NY
Licensed Practical Nurse or Licensed Vocational Nurse required. Under moderate supervision, conduct in-house utilization review with emphasis on determining...

Utilization Review Nurse

Fidelis Care - 168 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. Registered Nurse (RN). The Utilization Management (UM) Clinician performs clinical reviews to...
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Utilization Management RN

CareNational Healthcare Services (CNHS) - Buffalo, NY
$75,000 a year
2+ years of utilization management or utilization review experience, can be from hospital or health plan setting....
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Behavioral Health Clinical Information Associate

BlueCross BlueShield of WNY - 4,134 reviews - Buffalo, NY
Prepares cases for nurse review. The Associate is responsible to forward the case to the nurse for medical review....

RN Nurse Medical Mgmt Inpatient/Outpatient UM

Anthem, Inc. - 2,112 reviews - Buffalo, NY
These are telephonic, remote (work from home) positions for experienced nurses with inpatient and outpatient utilization review experience....

RN I-MC

Lifetime Health Medical Group - 10 reviews - Buffalo, NY 14203 (Willert Park area)
This RN may also serve as the case manager, which involves the identification of appropriate services, supervision of home health aide staff and ongoing review...

RN Manager UM Utilization Management

Anthem, Inc. - 2,112 reviews - Buffalo, NY
Utilization Management experience required. Able to review, track and report on metrics/data relating to inpatient and outpatient utilization management....

Specialist Behavioral Health Utilization Management

BlueCross BlueShield of WNY - 4,134 reviews - Buffalo, NY
Assists in containing the cost of health care services by detecting, resolving, and preventing improper utilization of member benefits by applying utilization...
RN Manager UM Utilization Management - Buffalo, NY - 129931
Utilization Management experience required. Able to review, track and report on metrics/data relating to inpatient and outpatient utilization management....
Utilization Review Nurse
Fidelis Care - 168 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. Registered Nurse (RN). The Utilization Management (UM) Clinician performs clinical reviews to...
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