Utilization Review jobs in Buffalo, NY

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Utilization Review Nurse
Fidelis Care - 171 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. The Utilization Management (UM) Clinician performs clinical reviews to assess medical...
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RN Supervisor, Utilization Management
Fidelis Care - 171 reviews - Buffalo, NY
Effectively manage individuals who perform Utilization Review. Effectively manage staff that provide Utilization Review services....
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RN Case Manager / Registered Nurse / Home Health - $5,000 SI...
WILLCARE - 511 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...

Utilization Review Nurse

Fidelis Care - 171 reviews - Buffalo, NY
Previous Utilization Review or Managed Care experience preferred. The Utilization Management (UM) Clinician performs clinical reviews to assess medical...

RN Utilization Management

BlueCross BlueShield of WNY - 4,213 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...

Learning Specialist/Academic Advisor

University at Buffalo - 125 reviews - Buffalo, NY
$40,000 a year
Review each student-athlete’s registration readiness and assist in the resolution of “service indicators.”....

Utilization Review Nurse

Travelers - 921 reviews - Buffalo, NY
Under moderate supervision, conduct in-house utilization review with emphasis on determining medical necessity for prospective, concurrent, retrospective and...

Specialist Behavioral Health Utilization Management

BlueCross BlueShield of WNY - 4,213 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...

Planner

New York Power Authority - 29 reviews - Lewiston, NY 14092
Develop approaches to improve productivity and utilization. Develop Job Safety Analysis for work orders and supervisor review....

Manager Care Management - Care Management (CH)

Sisters Of Charity Hospital - Acute - 34 reviews - Buffalo, NY
Recognized and viewed as subject matter expert on care management, care coordination, disease management, discharge planning, utilization review for their...

Developer Benefit/Business Rules

BlueCross BlueShield of WNY - 4,213 reviews - Buffalo, NY
Reviews and analyzes business rule effectiveness and efficiency, and develops strategies for improving this system and its utilization within the corporate...

Assistant Housing Coordinator, Full Time

Coordinated Care Services, Inc. (CCSI) - Erie County, NY
Into HUD’s e-snaps and review application. O Communicating with provider agencies to obtain information for review and entry....

RN Nurse Medical Mgmt Inpatient/Outpatient UM

Anthem, Inc. - 2,157 reviews - Buffalo, NY
These are telephonic, remote (work from home) positions for experienced nurses with inpatient and outpatient utilization review experience....
General Maintenance Worker
Fidelis Care - 171 reviews - Buffalo, NY
Review progress of projects on a regular or pre-established basis to monitor and assess project status. Establish maintenance, safety, and security standards to...
Registered Nurse (RN) Clinical Nurse Consultant
The position will support these Users through regular case reviews and direct communication. The Vatica Health Clinical Consultant is responsible for driving...
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