Utilization Review Nurse

Unlock Your PotentialWe're seeking a skilled Utilization Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our members receive the necessary care and services to achieve optimal health outcomes.About the RoleThe Utilization Review Nurse will be responsible for performing...

Job SummaryTravelers Insurance is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for conducting in-house utilization review with emphasis on determining medical necessity for prospective, concurrent, retrospective and appeal treatment requests for workers compensation claims.Key...

Job SummaryWe are seeking a skilled Clinical Review Nurse to join our team at Independent Health. As a Utilization Review Nurse, you will play a critical role in determining the medical necessity of requested services.Key Responsibilities Perform clinical reviews to determine medical necessity of requested services Obtain clinical information and utilize...

Job SummaryWe are seeking a highly skilled Clinical Reviewer to join our team at Independent Health Association. As a Clinical Reviewer, you will be responsible for the collection and review of medical records specific to quality complaints/grievances and appeals.Key ResponsibilitiesInvestigate quality complaints/grievances and appeals, document research of...

Job SummaryWe are seeking a highly skilled Clinical Reviewer to join our team at Independent Health Association. As a Clinical Reviewer, you will play a critical role in ensuring the quality and accuracy of medical records and coverage determinations.Key ResponsibilitiesInvestigate and research clinical appeals, complaints, and grievances to ensure coverage...

Job SummaryThis role involves collecting and analyzing medical data related to surgical services for submission to regulatory agencies and performance improvement initiatives. The incumbent will work under the supervision of the Vice President of Surgical Services to ensure accurate and timely data submission, maintain related records and databases, and...

Job Summary:Northtowns Cardiology is seeking a skilled Registered Nurse to join our team in our fast-paced outpatient Cardiology practice. As a Cardiology Nurse Specialist, you will be responsible for conducting patient screenings, administering medications, and reviewing medical records for quality assurance measures. Key Responsibilities:Conduct patient...

Care Management Director Job DescriptionJob Summary: We are seeking a highly skilled Care Management Director to oversee the nursing case management, utilization review, and quality management functions in our Care Management Department at ECMC. The ideal candidate will have a strong background in professional nursing and experience in case management,...

Job Summary:The Residential Nurse provides medical case management for individuals with developmental disabilities living in community-based homes. This role involves supervising the completion of delegated nursing tasks, participating in agency training, and ensuring facility compliance with all physicians' orders.Key Responsibilities:Participate in the...

Job Summary:We are seeking a skilled Patient Care Coordinator to join our team at Kaleida Health. As a key member of our interdisciplinary team, you will be responsible for coordinating care, facilitating utilization and resource management, and discharge planning functions to achieve optimal outcomes for patients in the acute care...

Job SummaryThe Nursing Clinical and Simulation Coordinator is a full-time faculty member responsible for planning, coordinating, and overseeing the simulation program. This role requires collaboration with Nursing faculty and staff to ensure student learning needs and program goals are met. The Simulation Coordinator will report to the Executive Dean for...

We are seeking a highly skilled Clinical Nurse Supervisor to lead our nursing team on the 11pm to 7am shift at Southtowns Care Center.Located in South Buffalo, New York, we offer a competitive salary and a comprehensive benefits package to support your career growth.Job Summary:The Clinical Nurse Supervisor will be responsible for overseeing the day-to-day...

Job Title: Nurse Unit ManagerJob Summary: Ellicott Center is seeking a skilled Registered Nurse to lead our Skilled Nursing Facility in Buffalo, NY. The ideal candidate will have prior long-term care experience and excellent leadership skills.Duties:Supervise assigned unit staffDevelop and implement employee policies and proceduresMentor less experienced...

About the JobBuffalo Center is seeking motivated Registered Nurses to work at our Skilled Nursing Facility in Buffalo, NY.Job SummaryAs a Registered Nurse - Pre Operative, you will provide advice and support to residents and their families, monitor residents, and administer medication and treatments. You will also document resident care services, protect...

Job SummaryWe are seeking a skilled Nurse Practitioner to join our team at AltaStaff. As a Clinical Reviewer, you will be responsible for reviewing and making recommendations on consumer assessments for long term care services and supports.Key Responsibilities* Review and validate assessment outcomes* Maintain current knowledge of regulatory changes...

Job Summary:Ellicott Center is seeking a skilled Registered Nurse to serve as a Unit Manager. The ideal candidate will have prior long-term care experience and a strong leadership presence.Key Responsibilities: Handle all supervisory duties for assigned unit Establish and implement employee policies and procedures Mentor less experienced nurses, offering...

Job Summary:AltaStaff is hiring a Clinical Assessment Specialist to review consumer assessments for long term care services and supports in New York State. The ideal candidate will have 2+ years of practicing experience as a Nurse Practitioner and excellent clinical and communication skills.Responsibilities:Review and make recommendations on consumer...

Job Title: Accounts Payable SupervisorJoin Benderson Development Company, LLC as an experienced Accounts Payable Supervisor to oversee the processing of accounts payable for Property Management and Utilities. Ensure accurate coding, data entry, and processing of invoices. Assist in managing a team of AP Analysts.Key Responsibilities:Review and verify...

Job Title: Supervisor, Accounts PayableAt Benderson Development Company, LLC, we are seeking a highly skilled and experienced Supervisor, Accounts Payable to join our team. This role is responsible for overseeing the accounts payable processing for Property Management and Utilities, ensuring proper coding, data entry, and processing of accounts payable.Key...

Job Summary:We are seeking a highly skilled Nurse Practitioner to join our team in the school setting. The ideal candidate will possess a current license to practice as a Registered Nurse in New York State and a current New York State Education Department certification as a Nurse Practitioner with a specialty area of Pediatrics, Family Medicine, or School...