Utilization Management Nurse jobs in Buffalo, NY

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Utilization Review Nurse (Getzville, NY Office)
Utilization Management experience required. Registered Nurse (RN). The Utilization Management clinician makes coverage decisions based on specific criteria...
Desired Experience: RN, Managed Care
Easily apply
RN Manager, Transition of Care Team
Registered Nurse (RN). Responsible for the management and oversight of multiple Case Management functions within Clinical Operations....
Desired Experience: RN, NCQA Standards, Management Experience, Case Management, Home Care, Managed Care
Easily apply
HARP Care Manager
Horizon Health Services - 34 reviews - Niagara Falls, NY 14301
Providing education to others regarding the care management process. Additional contact may be necessary and is at the discretion of management....
Desired Experience: Excel, RN, Reliable Transportation, Behavioral Health, Microsoft Office, Microsoft Word, Substance Abuse Counseling Certification, Driver's License, Managed Care

RN Utilization Management (Outpatient)

BlueCross BlueShield of WNY - 796 reviews - Buffalo, NY
License Registered Nurse. Knowledge and Skills Preferred experience in utilization management, managed care, health insurance industry, and the provider...
Desired Experience: Microsoft Powerpoint, RN, Clean Driving Record, Excel, Microsoft Access, Microsoft Word, Driver's License, Managed Care

Utilization Management Clinician (RN, OT, PT)

Fidelis Care - 241 reviews - Buffalo, NY
Utilization Management experience required. Utilization Management Clinician (RN, OT, PT). The Utilization Management clinician makes coverage decisions based...
Desired Experience: RN, Managed Care

RN Utilization Mgmt (NE)

BlueCross BlueShield of WNY - 796 reviews - Buffalo, NY
License Registered Nurse. Knowledge and Skills Preferred experience in utilization management, managed care, health insurance industry, and the provider...
Desired Experience: Microsoft Powerpoint, RN, Clean Driving Record, Excel, Microsoft Access, Microsoft Word, Driver's License, Managed Care

Case Management Coordinator

Kaleida Health - 161 reviews - Buffalo, NY
Position Case Management Coordinator. Department 24427 - BGH Patient Management. 2 years of experience in any combination of case management, home care and...
Desired Experience: Case Manager Certification, Microsoft Office

Care Management Coordinator

Elderwood - 62 reviews - Buffalo, NY
Participate in Interdisciplinary Team meetings, Disease Management, Utilization Management, and Quality Improvement activities and prepare/submit activity...
Desired Experience: Bilingual, RN, Reliable Transportation, Clean Driving Record, Microsoft Office, Driver's License, Home Care, Social Work, Managed Care

RN Comprehensive Care Management

BlueCross BlueShield of WNY - 796 reviews - Buffalo, NY
Comprehensive care management functions include Utilization Management, Case Management, Disease Management and Cost Containment, providing the continuum of...
Desired Experience: Bilingual, Time Management, Case Manager Certification, RN, Microsoft Powerpoint, Excel, CPT-4, Microsoft Access, Microsoft Word

Case Manager,Registered Nurse - Care Management (CH)

Sisters of Charity Hospital - St. Joseph Campus - 54 reviews - Cheektowaga, NY
Case Manager, Registered Nurse – Care Management (Catholic Heath). Site Manager for Care Management. National Certification in Case Management preferred....
Desired Experience: Case Manager Certification, RN, Managed Care

Clinical Educational Specialist

Centers Health Care - 158 reviews - Buffalo, NY 14209 (Delaware-West Ferry area)
Collaborate with area management teams to determine specific needs. The Clinical Educational Specialist (CES) functions as a nurse clinician for multiple...
Desired Experience: RN, Teaching Experience
Easily apply

Service Coordinator

Fidelis Care - 241 reviews - Buffalo, NY
Complete care management documentation and perspective Utilization Management to ensure all necessary information and updates are recorded....
Desired Experience: Reliable Transportation, Transcription, Microsoft Office, Driver's License

POPULATION HEALTH CLINICAL DATA ANALYST

Erie County Medical Center Corporation - 111 reviews - Buffalo, NY
Provides clinical expertise to physicians and administrative staff on population health management initiatives;...
Service Coordinator, Managed Long Term Care
Complete care management documentation and perspective Utilization Management to ensure all necessary information and updates are recorded....
Easily apply
RN Manager, Clinical Oversight-Clinical Services
Registered Nurse (RN). Case Management experience required. Responsible for the management and oversight of multiple Case Management operations within Clinical...
Desired Experience: RN, Management Experience, Case Management, Managed Care
Easily apply