- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- … Nurse (RN) to work at its Buffalo Location. The Nurse Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... of complex utilization processes. Responsibilities The Nurse Utilization Management (UM) Registered Nurse (RN) executes position responsibilities… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- Summary The Western New York VA Medical Center is hiring for one, full-time Registered Nurse to work in the Operating Room (OR). The OR Registered Nurse ... contribution that each team member makes to the patient's well-being. Responsibilities The Registered Nurse (RN) is assigned to the Operating Room (OR) in… more
- Catholic Health (Kenmore, NY)
- …9-5pm 10-6pm (Travel Required between Kenmore Mercy and Sister's Hospital Summary: The Registered Nurse (RN) Care Manager-Transition of Care, as an active member ... of the Care Management and interdisciplinary care team, provides comprehensive case ...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
- Molina Healthcare (Buffalo, NY)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Excelsior Orthopaedics Group (Amherst, NY)
- Job Summary The Operating Room Nurse Manager is a registered nurse who provides leadership and coordination in the operating room (OR) environment. They are ... targets related to on-time starts, turnaround time and OR utilization . + Responsible for leading and managing the OR...nursing and a current license to practice as a registered nurse (RN) in NYS. + CNOR… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- Summary The Western New York VA Medical Center is seeking a Registered Nurse (RN) - Oncology / Hematology to work at the Buffalo Location. The Oncology / ... when providing and/or supervising direct patient care. Responsibilities The Infusion Oncology/Hematology Registered Nurse (RN) is a clinical expert who uses… more
- Independent Health (Buffalo, NY)
- …Review Clinician will primarily be responsible for managing behavioral health benefits through utilization management functions as well as case management ... as a LCSW, LMSW, LMHC, LPC, LMFT) or a Registered Nurse (RN) with active, unrestricted NYS...required. + Experience in a health plan/managed care setting, utilization management , case management , and/or… more
- Kaleida Health (Williamsville, NY)
- …with members of the interdisciplinary team to coordinate care, facilitate utilization and resource management and discharge planning functions, working ... And Credentials** **Responsibilities:** Current New York State registration as a Registered Professional Nurse required. Bachelor of Science degree in… more
- Catholic Health (Buffalo, NY)
- …Degree in Nursing required + Current, unrestricted licensure by New York State as a Registered Nurse (RN) required EXPERIENCE + Minimum of (1) year experience as ... a registered nurse required + One year previous case, disease, or utilization management experience preferred + One year previous experience in a… more
- Molina Healthcare (Buffalo, NY)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …reviews and peer-to-peer calls in timely manner and provides support for the Case Management (CM) and Registered Nurse (RN) reviewers and manages the ... rounds. + Provision of clinical oversight and leadership to Utilization Management /Case Management (UM/CM) staff working with the children's population.… more
- STG International (West Seneca, NY)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. + Comply ... to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical… more
- Molina Healthcare (Buffalo, NY)
- …UAS experience * Experience conducting home visits Required Licensure or Certification: * Registered Nurse (RN) State Specific Requirements: * Must reside in the ... and using durable medical equipment (DME). * Experience in utilization review, concurrent review and/or risk management ...in utilization review, concurrent review and/or risk management a plus. * Bilingual or multi-lingual. * Health… more
- Elderwood (Buffalo, NY)
- …Responsibilities In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are ... may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities… more
- SUNY Erie Community College (Buffalo, NY)
- …: Master's Degree in Nursing and a current, unencumbered New York State Registered Nurse 's license is required with recent clinical experience in specialized ... variety of teaching strategies; use of instructional technology where appropriate; utilization of technology in the clinical setting, experience with computerized… more