Utilization Review Nurse Jobs in Buffalo, New York

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20 Buffalo, NY Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 20
The Utilization Management (UM) Review Nurse (Inpatient or Outpatient) performs chart reviews to determine medical necessity of requested outpatient services or inpatient stays, while maintaining compliance with appropriate nursing standards and all regulatory requirements. Interfaces with medical directors, and both internal and external stakeholders, in regards to coverage for services, contract...
The Travelers Companies Buffalo, NY, 14202
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Office based telephonic medical case managemen...
The Travelers Companies Buffalo, NY, 14202
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Office based telephonic medical case managemen...
The Clinical Reviewer is responsible for providing an organized, timely and consistent review and investigation of provider and/or member complaints and/or appeals which may also involve coordinating clinical peer review, preparing written responses to clinical member appeals, and providing member education. The Clinical Reviewer will need to rely on their ability to synthesize a great deal of inf...
Description: Nurse Practitioner - Complex Care - Buffalo, New York Optum a division under the greater UnitedHealth Group has exciting Nurse Practitioner opportunities available! We have teams of Nurse Practitioners spread across the NY market and are looking to expand the team in 2014/2015. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nu...
Travelers is hiring nurses! RN Medical Case Managers/Utilization Review Nurse Learn more at our open house. Join us to learn more about what Travelers can offer and why more than 500 nurses have chosen Travelers as their workplace. We offer a standard Monday through Friday work schedule: no nights, holidays or weekends. - When: Wednesday, November 5, 2014 7:00AM to 7:00PM - Where: Travelers, ...
Description: Nurse Practitioner - Complex Care - Buffalo, New York Optum a division under the greater UnitedHealth Group has exciting Nurse Practitioner opportunities available! We have teams of Nurse Practitioners spread across the NY market and are looking to expand the team in 2014/2015. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nu...
Description: Nurse Practitioner - Complex Care - Buffalo, New York Optum a division under the greater UnitedHealth Group has exciting Nurse Practitioner opportunities available! We have teams of Nurse Practitioners spread across the NY market and are looking to expand the team in 2014/2015. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nu...
These positions are with American Health Holding (AHH). Telecommuters must have a separate dedicated area for HIPAA compliance. The hours for these positions are 11:30 AM and ending at 8:00 PM ET. This position is work at home from any location Minimum internet requirements for a telecommuting position include: • A separate wired Internet connection • Minimum download speed of 6MB • Minimum ...
Wellcare Health Plans Inc Buffalo, NY
Registered Nurse - Field Service Coordination (Erie County) Buffalo, NY - 1408870 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescriptio...
Fresenius Medical Care North Tonawanda, NY
Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect with your goals and change lives with Fresenius Medical Care North America. Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare, we know what i...
Erie County Medical Center Buffalo, NY, 14202
The work involves directing the operation of the Critical Care, Emergency Department and Trauma Services at the Erie County Medical Center Corporation. The incumbent oversees the activities of nursing personnel and developing, implementing and evaluating standards of nursing practice for Critical Care, Emergency Department and Trauma Services and Respiratory Therapy Department. The incumbent ensur...
Centers for Specialty Care Group Buffalo, NY, 14202
Registered Nurse - Sub-Acute Unit Delaware Center for Rehabilitation and Healthcare is seeking Experienced Floor RNs for the Sub-Acute Unit in our 200-bed Skilled Nursing Facility. Excellent Compensation Package! Delaware Center Provides Your Scrubs! New York State Licensing Required Position Details: Part Time Floor RN - Sub-Acute Evening Shift and Night Shift Duties Include: Provides ad...
Fresenius Medical Care Buffalo, NY
Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. Connect with your goals and change lives with Fresenius Medical Care North America. Here is your opportunity to make profound connections that make all the difference. As the global leader in dialysis healthcare, we know what i...
BlueShield of Northeastern New York Buffalo, NY, 14202
Position Summary: Review, assess and process pre-authorization/appeal requests from provider offices, members, vendors or facilities to determine the correct product and benefit available for the requested service. Respond within required time frames. Associate authorizes treatment or service as appropriate within the scope of authority. Determine if review would be contractual in nature. Direct...
Excellus BlueCross BlueShield Buffalo, NY, 14202
Responsible for delivering projects and programs with quality, to plan, and within budget. Essential Responsibilities/Accountabilities • Plans, directs, and coordinates a matrixed team(s) activities to manage and implement interrelated projects from contract/proposal initiation to final operational stage. • Will act and serve as Product Manager, Program Manager, Test Lead and User Experience Le...
This is a full-time telework (WAH) position open to any US location. POSITION SUMMARY At Aetna we are committed to ensure that our members receive the best, most appropriate care. As a Utilization Management Clinician, you will work in a fast-paced, autonomous, team-oriented environment where turn around times and meeting deadlines are critical. Fundamental Components Utilizes clinical skills ...
Fresenius Medical Care Williamsville, NY
Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysi...
Fresenius Medical Care Williamsville, NY, 14221
Description Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members. As the global leader in dialysi...
Fresenius Medical Care North Tonawanda, NY
Lead, inspire, motivate and develop a team of strong, versatile performers. Brighten prospects for patients as well as your career. Help others, and enhance your potential for success with a premier healthcare organization. Connect with your goals and change lives with Fresenius Medical Care North America. Use your passion for excellence to drive positive change—one patient at a time. Empower a...

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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in Buffalo
(313 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
41.2%
Master's
30.6%
Associates
22.7%
(216 Respondents)
Source: Monster.com Careerbenchmarking Tool

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