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Utilization review nurse jobs in Buffalo, NY - 21 jobs

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  • Medical Review Nurse (RN)

    Molina Healthcare Inc. 4.4company rating

    Utilization review nurse job in Buffalo, NY

    Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. Job Duties * Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. * Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. * Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies and reports quality of care issues. * Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. * Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. * Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. * Supplies criteria supporting all recommendations for denial or modification of payment decisions. * Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. * Provides training and support to clinical peers. * Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. Job Qualifications REQUIRED QUALIFICATIONS: * At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience working within applicable state, federal, and third-party regulations. * Analytic, problem-solving, and decision-making skills. * Organizational and time-management skills. * Attention to detail. * Critical-thinking and active listening skills. * Common look proficiency. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. * Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. * Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $29.05 - $67.97 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $29.1-68 hourly 7d ago
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  • Formulary Strategy & Utilization Review Pharmacist

    Pharmacy Careers 4.3company rating

    Utilization review nurse job in Buffalo, NY

    Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and prepare stakeholder reports. Qualifications: PharmD with managed care, DUR, or pharmacy benefit experience. Strong Excel/data analytics background preferred. Understanding of clinical guidelines and P&T processes. Why Join Us? Join a top-tier managed care team Hybrid flexibility Strategic and data-driven focus
    $68k-81k yearly est. 60d+ ago
  • Infusion Nurse

    Biomatrix Specialty Pharm

    Utilization review nurse job in Buffalo, NY

    INTRODUCTION is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone's contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule: Varied Hours Occurring Monday Through Friday Between 8:30am Eastern Standard Time To 5pm Eastern Standard Time Location: BioMatrix Specialty Infusion Pharmacy is seeking a Part-Time Per Diem Infusion Nurse to see patients in their homes in Watertown, NY. Work location is subject to change based on business needs. On-Call: Participation in the on-call rotation is a requirement of this position. It is anticipated that an incumbent in the position would be on-call approx. once every eight (8) weeks for two (2) weekdays per month and one (1) weekend. Job Description: A Registered Nurse for Home Infusion inserts, monitors and removes an IV used to give medications, blood products and nutrition to a patient. During the IV therapy, the nurse monitors the patient for adverse reactions and ensures that the tubing, bandages and needle stay in place. When a patient needs blood levels checked, an IV nurse performs a veinous phlebotomy. During the entire IV therapy process, the nurse obtains sets of vital signs, completes the physical assessment and review of systems, documents all patient-related activities and records the medications they use. Provides and coordinates all aspects of staffing services to the patient with the assistance of the Company Directors, Nursing Coordinator and the Director of Nursing. Communicates with the patients to determine problems and/or solutions regarding their treatment. The Per Diem RN also conveys collected documentation from patient to all necessary internal and third-party external staff regarding scheduling and other pertinent patient information. Performs a variety of duties both clinical and nursing notes documentation. This position requires skill in planning, organizing, scheduling and coordinating the delivery of patient care by all staff personnel including but not limited to complete documentation of nursing care and submission of nursing notes. QUALIFICATION REQUIREMENTS Nursing Degree from an accredited college or university required IV certification & experience in central line care and management required Current state RN license in location denoted in posting required Minimum of two (2) years of RN experience required Valid state driver's license required CPR certification required Home care, critical care, emergency nursing, AIC or hospital discharge planning experience. Incumbent should have some experience in staffing and should be able to demonstrate the ability to multi-task as well as good communicative and interpersonal skills. Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.). Willing to travel to see patients in the homes, and in other health care facilities. Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. QUALIFICATIONS PREFERRED Bachelor's degree preferred RN license in other states preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Demonstrates the basic knowledge and judgment to utilize the nursing process to schedule nursing visits in accordance with RX's and established protocols. Coordinates SOC and ongoing nursing visits and confirms scheduled visits with both patient and Nursing Agency/RN. Assures schedule is sent out via email to team members. Responsible for following up on and entering Therapy Admin reports and emailing to team involved. Reviews all nurses notes for content and accuracy and completion without omitting necessary information such as drugs given, drug dosing and time of administration. Continual communication with families, supervisors and field personnel, agencies regarding problems and/or special needs of both the patient. Responsible to communicate all problems and reportable situations to the referring MD and appropriate MD office administrator and to Biomatrix nursing Computer functions including but not limited to input, reports, searches, schedules. Communicates patient/employee information to answering services when necessary. Has read and understands company compliance paperwork and videotapes. Performs all duties in accordance with all applicable federal and state laws and with the highest ethical standards. Coordinates staffing in a timely manner while also adhering to confidentiality and ethics as discussed in the compliance program 100% of the time. Insert intravenous cannulas; administer prescribed intravenous solutions, medications; monitor & maintain infusion sites & system; evaluate responses to prescribed therapy. Teach patients & caregivers to perform & monitor administration of Home Infusion as prescribed. Prepare clinical records, care plans, progress notes for each patient visit. Coordinate schedule of patient visits & phone calls. Works in patients place of residence. Drive as assigned within state. Prior experience in Home Infusion Therapy is preferred. PICC/Port/Midline experience and certification is preferred. NON-ESSENTIAL FUNCTIONS & RESPONSIBILITIES Ability to prioritize and handle multiple tasks and projects concurrently. Must have scheduling flexibility and be able to work extra hours if needed. Careful attention to detail. Performs related duties as requested. Participates in quality assurance activities and audits as directed. KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS Provides professional nursing care within the department Coordinates care planning with other disciplines Provides care that meets the psychosocial, physical general aspects of care Determines priorities of care based on physical psychosocial needs of patients, as well as factors influencing patient flow through the system Communicates regarding changes in patient status, symptomatology results of diagnostic studies Responds quickly accurately to changes in condition or response to treatment Excellent verbal skills and Good written skills Excellent Customer Service skills Must be able to develop caring relationships with their patients and treat them with respect and empathy. Possess medical-surgical experience or knowledge in phlebotomy and venous access, both of which deal with the collection of blood. Must be able to work independently, as well as on a team. Must teach the patient how to properly care for their IV or PICC line and be able to communicate with patients clearly while giving instructions. Ability to work under high levels of stress, know how to handle critical situations in the home. Communication Skills Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. Computer Skills Become and remain proficient is all programs necessary for execution. PHYSICAL DEMANDS AND WORK ENVIRONMENT This position requires driving to patient homes and other HC facilities, walking, sitting, standing, kneeling or stooping. This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms. This position requires constant talking and hearing. Specific vision abilities required by this job include close vision and the ability to adjust focus. This position must occasionally lift and/or move up to 20 pounds Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at ************************* or ************ x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER Will participate in legal and ethical compliance training each year. Will consistently behave in compliance with the BioMatrix, LLC's legal and ethical policies and procedures. Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual. Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $55k-91k yearly est. Auto-Apply 5d ago
  • Graduate Nurse (GN)

    Seneca Health Care Center LLC 3.4company rating

    Utilization review nurse job in Buffalo, NY

    The Graduate Nurse (GN) promotes the health, wellness, & illness prevention of residents through an array of daily nursing and personal care endeavors. A GN works under the direction of a Registered Nurse and must be ready to handle a diverse range of tasks and responsibilities. These responsibilities include administering treatment or medications, performing clinical procedures, and documenting the clinical data of patients. Responsibilities: Responsible for the care and safety of all patients/residents on the nursing unit, ensuring that individual care plans are current, implemented and revised as necessary. Administers and documents medications, treatments and other nursing services to ensure that the medical record reflects progress and the current condition of the patient/resident. Ensures that the medical record reflects progress and the current condition of the resident at all times. Receives report from the off going team leader/nursing supervisor, makes rounds to verify the needs of the residents. Ensures that the designated representative is notified of any change in the patient/residents condition or plan of care. Ensures that the physician is informed on any change in the patient/residents condition, abnormal lab results, diagnostic test results, consultant recommendations, etc. Reports pertinent information regarding patients/residents to the oncoming team leader/nursing supervisor. Possesses knowledge of the facility's policies and procedures, abides by these policies, ensures that the staff is informed of and correctly carries out these policies. include, but are not limited to: Maintains HIPAA privacy, security and confidentiality standards. Follows universal Precautions and Infection Control techniques. Requirements: Minimum 18 years of age; high school diploma or equivalent preferred A graduate nurse currently eligible for licensing in the State of New York, who possesses an appropriate level of education, training, and experience to fulfill all requirements/duties of the position No findings or convictions of resident abuse, mistreatment, and misappropriation of property Strong written and verbal communication skills; able to follow written and verbal instructions Able to work well with and show respect towards fellow staff members, physicians, residents, and family members Caring and compassionate bedside manner Physical endurance for frequent activity; ability to lift a minimum of 20 pounds Benefits: Paid Time Off (PTO) Health, Vision, and Dental Insurance Life Insurance Referral Bonus Program Tuition Support Weekly or Same Day Pay Options Supportive Work Environment Apply today and become a key part of our team in maintaining a comfortable, safe environment for residents and staff alike!
    $59k-80k yearly est. 18d ago
  • Nursing - L&D

    Mercy Hospital of Buffalo 4.1company rating

    Utilization review nurse job in Buffalo, NY

    Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************
    $62k-82k yearly est. 23d ago
  • Graduate Nurse (GN)

    McGuire Group Health Care Facilities

    Utilization review nurse job in West Seneca, NY

    The Graduate Nurse (GN) promotes the health, wellness, & illness prevention of residents through an array of daily nursing and personal care endeavors. A GN works under the direction of a Registered Nurse and must be ready to handle a diverse range of tasks and responsibilities. These responsibilities include administering treatment or medications, performing clinical procedures, and documenting the clinical data of patients. Responsibilities: * Responsible for the care and safety of all patients/residents on the nursing unit, ensuring that individual care plans are current, implemented and revised as necessary. * Administers and documents medications, treatments and other nursing services to ensure that the medical record reflects progress and the current condition of the patient/resident. * Ensures that the medical record reflects progress and the current condition of the resident at all times. * Receives report from the off going team leader/nursing supervisor, makes rounds to verify the needs of the residents. * Ensures that the designated representative is notified of any change in the patient/residents condition or plan of care. * Ensures that the physician is informed on any change in the patient/residents condition, abnormal lab results, diagnostic test results, consultant recommendations, etc. * Reports pertinent information regarding patients/residents to the oncoming team leader/nursing supervisor. * Possesses knowledge of the facility's policies and procedures, abides by these policies, ensures that the staff is informed of and correctly carries out these policies. include, but are not limited to: * Maintains HIPAA privacy, security and confidentiality standards. * Follows universal Precautions and Infection Control techniques. Requirements: * Minimum 18 years of age; high school diploma or equivalent preferred * A graduate nurse currently eligible for licensing in the State of New York, who possesses an appropriate level of education, training, and experience to fulfill all requirements/duties of the position * No findings or convictions of resident abuse, mistreatment, and misappropriation of property * Strong written and verbal communication skills; able to follow written and verbal instructions * Able to work well with and show respect towards fellow staff members, physicians, residents, and family members * Caring and compassionate bedside manner * Physical endurance for frequent activity; ability to lift a minimum of 20 pounds Benefits: * Paid Time Off (PTO) * Health, Vision, and Dental Insurance * Life Insurance * Referral Bonus Program * Tuition Support * Weekly or Same Day Pay Options * Supportive Work Environment Apply today and become a key part of our team in maintaining a comfortable, safe environment for residents and staff alike!
    $55k-91k yearly est. 60d+ ago
  • New Graduate Nurse

    Fresenius Medical Care North America 4.3company rating

    Utilization review nurse job in Buffalo, NY

    **PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** **STAFF RELATED:** + Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. + Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. + Assesses daily patient care needs and develops appropriate patient care assignments. + Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. + Participates in staff training and orientation of new staff as assigned + Participates in all required staff meetings as scheduled. **PATIENT RELATED:** Education: + Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). + Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. + Discusses with patient, and records education related to diet/fluid and medication compliance. + Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). + Ensures transplant awareness, modality awareness, and drive catheter reduction. + Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Dialysis Treatment: + Provides safe and effective delivery of care to patients with ESRD. + Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. + Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. + Identifies and communicates patient related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. + Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. + Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. + Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. + Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. + Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: + Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. + Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. + Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. + Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. + Ensures that all labs are directed and delivered to appropriate labs. + Reports alert/panic and abnormal labs results to appropriate physician. + Ensures lab results are forwarded to physicians as requested. General duties: + Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. + Maintains overall shift operation in a safe, efficient, and effective manner. + Act as a resource for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. + Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. + Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. + Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees all documentation of patient information. + Maintains facility drug list for all required stock medications. + Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. + Ensures verification and availability of adequate emergency equipment. + Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. + Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. + Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. + Maintains appropriate recording of controlled substances as required by law. + Assists with the coordination of patient transportation if necessary. **MAINTENANCE/TECHNICAL:** + Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. + Ensures competency in the operation of all dialysis-related equipment safely and effectively. + Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. + Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. **MEDICAL RECORDS & DOCUMENTATION:** General + Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. + Ensures all appropriate patient related treatment data is entered into the Medical Information System. + Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. + Ensures and verify accuracy of Patient Care Technician documentation. Daily + Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. + Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Monthly + Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. + Completes monthly nurses' progress note. + Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). + Reviews transplant status and follows established procedure regarding appropriate action to be taken. + Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. + Completes any long-term programs that are due. Annually + Completes initial and annual Nursing History and Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. + Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. + Maintain regular and punctual attendance. + Perform other related duties as assigned. **_Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions._** **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. + The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. + The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. + Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. **SUPERVISION:** + None **Education:** + Graduated from an accredited nursing program within the past 12 months **Experience and required skills:** + Required to obtain nursing license and registration within the timeline defined by state regulations, or within 90 days of hire, whichever occurs first. + Current appropriate state Temporary Permit. + Must meet the practice requirements in the state in which he or she is employed **ACKNOWLEDGEMENT:** I acknowledge that I have read and accepted this . I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative. The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $29 - $48 **ADDENDUM:** Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: ********************************************************************************************************************************************************** . For additional information please contact your Regional Education Coordinator. **Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.** **EOE, disability/veterans**
    $29-48 hourly 43d ago
  • Graduate Nurse (GN)

    The McGuire Group 4.3company rating

    Utilization review nurse job in West Seneca, NY

    The Graduate Nurse (GN) promotes the health, wellness, & illness prevention of residents through an array of daily nursing and personal care endeavors. A GN works under the direction of a Registered Nurse and must be ready to handle a diverse range of tasks and responsibilities. These responsibilities include administering treatment or medications, performing clinical procedures, and documenting the clinical data of patients. Responsibilities: Responsible for the care and safety of all patients/residents on the nursing unit, ensuring that individual care plans are current, implemented and revised as necessary. Administers and documents medications, treatments and other nursing services to ensure that the medical record reflects progress and the current condition of the patient/resident. Ensures that the medical record reflects progress and the current condition of the resident at all times. Receives report from the off going team leader/nursing supervisor, makes rounds to verify the needs of the residents. Ensures that the designated representative is notified of any change in the patient/residents condition or plan of care. Ensures that the physician is informed on any change in the patient/residents condition, abnormal lab results, diagnostic test results, consultant recommendations, etc. Reports pertinent information regarding patients/residents to the oncoming team leader/nursing supervisor. Possesses knowledge of the facility's policies and procedures, abides by these policies, ensures that the staff is informed of and correctly carries out these policies. include, but are not limited to: Maintains HIPAA privacy, security and confidentiality standards. Follows universal Precautions and Infection Control techniques. Requirements: Minimum 18 years of age; high school diploma or equivalent preferred A graduate nurse currently eligible for licensing in the State of New York, who possesses an appropriate level of education, training, and experience to fulfill all requirements/duties of the position No findings or convictions of resident abuse, mistreatment, and misappropriation of property Strong written and verbal communication skills; able to follow written and verbal instructions Able to work well with and show respect towards fellow staff members, physicians, residents, and family members Caring and compassionate bedside manner Physical endurance for frequent activity; ability to lift a minimum of 20 pounds Benefits: Paid Time Off (PTO) Health, Vision, and Dental Insurance Life Insurance Referral Bonus Program Tuition Support Weekly or Same Day Pay Options Supportive Work Environment Apply today and become a key part of our team in maintaining a comfortable, safe environment for residents and staff alike!
    $66k-89k yearly est. 60d+ ago
  • Referral Intake Nurse

    Kaleida Health 4.8company rating

    Utilization review nurse job in Cheektowaga, NY

    **The Central Intake Nurse RN performs triage duties while coordinating and facilitating the delivery of homecare services in conjunction with the homecare team, hospital discharge planning staff and other referral sources. The Central Intake Nurse RN facilitates referrals, coordinates skilled and non-skilled services, and other community resources through collection and input of data, while demonstrating positive interrelationships and service excellence in the performance of duties by meeting or exceeding the expectations of internal and external service groups.** **Education And Credentials** **Graduate of accredited school of registered nursing. Bachelors of nursing preferred.** **Experience** **Minimum one-year medical/surgical nursing experience required and one year homecare nursing, knowledge of community services, knowledge of discharge planning process required.** **Working Conditions** **Essential:** *** Weight Requirement - Light (up to 20 lbs)** **Job Details** Department: VNA Referral Intake Standard Hours Bi-Weekly: 80.25 Weekend/Holiday Requirement: Yes On Call Required: No **With Rotation:** **Scheduled Work Hours:** 8a-4:30p **Work Arrangement:** Onsite **Union Code:** U20 - CWA 1122 VNA RN & Clerical Requisition ID#: 14143 **Recruiter:** Adrian G. Mudd **Grade:** 10 **Pay Frequency:** Bi-Weekly **Salary Range:** $42.23 -$52.68 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _The VNA's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and the VNA envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. The VNA is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Referral Intake Nurse **Location** US:NY:Cheektowaga | Nursing | Full-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $42.2-52.7 hourly 14d ago
  • Treatment Nurse- Full Time

    PACS

    Utilization review nurse job in West Valley, NY

    Make written and oral reports/recommendations to the attending physician, Medical Director, or the DON concerning the status and care of the residents. * Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator * Report any known or suspected unauthorized attempt to access facility's information system. * Work with the Interdisciplinary Care Plan Team in developing a comprehensive assessment and care plan for assigned residents * Serve on, participate in, and attend various other committees of the facility (e.g., Policy Advisory) as required, and as appointed by the Administrator. * Provide written and/or oral status reports of residents that you are treating. * Evaluate and implement recommendations from established committees as they may pertain to the medical activities of the facility and the skin care of residents * Cooperate with other personnel to achieve department objectives and maintain good employee, interdepartmental, and public relations. * Maintain an effective, friendly working relationship with health professionals, physicians, consultants, and family members involved. * Meet with and solicit advice from the Medical Director, Director of Nursing Services, and nursing staff concerning the dermatologic care of residents. * Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. * Identify, manage, and treat specific skin disorders and primary and secondary lesions, such as skin abrasions, foot problems such as corns and callouses, decubitus ulcers, bacterial, parasitic and viral skin infections, scaling popular diseases, and benign tumors. * Provide assessment and diagnostic services to residents. Perform an assessment evaluation using techniques including observation, inspection, and palpation. * Complete a quarterly physical dermatologic examination on of the resident and record the results with the assessment. * Provide therapeutic services. Confer with the Care Planning Team in the development of the care plan. * Provide, within established protocols and under the supervision of the physician, treatment for uncomplicated dermatologic disorders as directed by the attending physician or Medical Director. * Ensure that residents with decubitus ulcers receive appropriate prophylaxis and treatment, such as daily inspection, turning and activity, a well-planned diet, and maintaining a clean, dry bed. * Give direct physical and psychological nursing care in emergencies, as well as in the presence of illness or disability in order to maintain life, provide comfort, reduce stress, and enhance the resident's ability to cope. * Assist in the admission or discharge of residents. * Work with other health agencies and family members in the physical and emotional transitions of admission, care, and discharge of residents as necessary * Assist in resident rehabilitation activities. Where required, perform range of motion, assist in ambulation, provide emotional support. Monitor the results of physical therapy activities. * Participate as requested by the Medical Director or Director of Nursing Services in the planning and conducting of in-service training classes concerning dermatologic nursing skills and procedures used within the facility * Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. * Assist in monitoring the inventory of medications, medical supplies, and equipment to ensure an adequate supply of skin care products are on hand to meet the needs of residents. * Be familiar with and use as appropriate all items of personal protective equipment offered by the facility, including, but not limited to, masks, gowns, gloves, and back brace to be worn when lifting. * Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. * Report any complaints or grievances made by residents regarding nursing or medical care to the Director of Nursing Services. Maintain a written record of any resident's complaints or grievances communicated to you with a notation of actions taken * Ensure that nursing staff personnel honor the resident's refusal of treatment request. Ensure that such requests are in accordance with the facility's policies governing advance directives. * Report and investigate all allegations of resident abuse and/or misappropriation of resident property.
    $55k-91k yearly est. Auto-Apply 60d+ ago
  • Transitional Staff Nurse RN

    Peopleinc 3.0company rating

    Utilization review nurse job in Lancaster, NY

    Your Experience Matters - New Higher Salaries Based on Experience Salary Range (Annualized) $76,960-$83,200 Monitors and coordinates the delivery of health care services for individuals with developmental disabilities who are attending People Inc. Day Programs and living in community based homes. Supervises the adequate completion of delegated nursing tasks to direct care staff and LPN's. Provides / participates in Agency training. ESSENTIAL FUNCTIONS / RESPONSIBILITIES Monitors and coordinates the delivery of preventive and routine health care for individuals with developmental disabilities in both the day program and residential settings Provides Agency training as required Coordinates and provides health services and training on those services for staff Oversees delegated health related tasks to Direct Care Staff and LPN's Provides medication training and certification to direct care staff per regulations and Agency policy Adheres to and ensures facility compliance with all physicians, NP, PA, etc. orders Based upon the independent judgment of the RN, the RN has the authority to suspend and/or revoke the responsibility of a Direct Care Staff or LPN to perform or complete any delegated task Based upon the independent judgment of the RN, the RN as the authority to suspend and/or revoke medication certifications and medication administration of the direct care staff or LPN. Completes a physical health and development on individuals every 6 months in day programs In coordination with program managers in day programs, ensures safeguards are updated as needed Within each month, completes a monthly breast exam on female clients if specifically ordered at day program by PMD Coordinates medical program needs with community services, medical providers and other related agencies Ensures adequate scheduling and completion of health related exams, appointments, laboratory / diagnostic testing as ordered or required Monitors medication administration in the facility Completes a thorough Annual Medication review (Non-ICF) or ensures a pharmacist completes a Quarterly Medication Review (ICF) For ICF's, completes quarterly nursing reviews for each person receiving services Within each year, updates the Plans of Nursing Services and ensures review with staff Within each month, completes a monthly breast exam on female clients, if ordered by a physician and / or provides training to individual Coordinates and provides health services / training for staff Oversees delegated health related tasks to Direct Care Staff and LPN's Provides medication training and certification to direct care staff per regulations and Agency policy Participates as an active member of the Interdisciplinary Team Maintains compliance with all applicable State / Federal regulations and Agency policy and procedure Maintains communication with LPN (as applicable), Program Manager, Program Administration, Service Coordinator and other staff as necessary Full time residential RN's will follow a rotation schedule for emergency staff training on Saturdays and Sundays Complies with all Agency policy and procedures Other duties as assigned MINIMUM QUALIFICATIONS Current NYS license to practice as a Registered Nurse NYS Drivers License that meets Agency policy 1 year of related experience Ability to meet physical requirements of the position when performing the following: Standing Walking Sitting Bending Stooping Squatting Kneeling Climbing Lifting requirement of 35 lbs Ability to move, reposition, and place individuals in pieces of equipment Physical agility and ability to react to emergency situations, including maintaining Strategies for Crisis Intervention and Prevention (SCIP-R) as per Agency guidelines Why People Inc.? When you join the People Inc. team, you can make a difference in the lives of people receiving services while also receiving outstanding benefits (generous PTO, PTO buyback, affordable insurances, tuition reimbursement, career mentoring, shift incentives, on-demand pay access and more), consistent schedules and the opportunity to help others move closer to their life goals and dreams. People Inc. is the regions most experienced provider of programs for people with developmental disabilities and other special needs. We understand that working one-on-one with people who have disabilities and helping them in all aspects of daily life takes someone who's dedicated, caring and compassionate - that's how we treat our employees. #RN24
    $77k-83.2k yearly 60d+ ago
  • Wilson OR Staff Nurse Specialty Care (.9 night rotational weekender)

    Ny United Health Services

    Utilization review nurse job in Wilson, NY

    Position OverviewThe Registered Nurse (RN), protects, promotes, and optimizes health and abilities, prevention of illness and injury, and the alleviation of suffering through the diagnosis and treatment of human response and through advocacy in the care of individuals and families. The RN is responsible and accountable for compliance to all standards of practice and professional development in accordance with the New York State Nurse Practice Act, United Health Services policies, ANA Scope and Standards of Practice, Code of Ethics for Nurses, and the Bill of Patient Rights. The RN promotes a caring and healing environment for patient-centered care. Primary Department, Division, or Unit: Operating Room, UHS Wilson Medical Center Primary Work Shift: Night Rotational Regular Scheduled Weekly Hours: 36 Compensation Range: per hour, depending on experience ----- Education/Experience Minimum Required: A graduate of an accredited school of Nursing Preferred: Bachelor's of Science degree in Nursing Previous clinical nursing experience in an acute care or ambulatory setting License/Certification Minimum Required: Current New York State Registered Nurse License. Preferred: CCRN Relevant skills certification (i.e., ACLS, PALS, TNCC) as required by home unit assigned. ----- Why You'll Love Working at UHS At United Health Services (UHS), we believe every connection-to patients, to purpose, to each other-makes a difference. That's why we're intentional about supporting our team in ways that go beyond the job. Whether through meaningful benefits, personal growth, or fun along the way, we're here to help you thrive in work and life. A Culture of Connection - We support each other like family and create space for every voice to be heard. Engagement Councils, peer recognition, and initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging and collaboration. Outside of work, we stay connected through team events like trivia, trunk-or-treat, volunteer days, our staff choir, or seasonal celebrations. Comprehensive Benefits for Life & Family - We offer medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week. With flexible plan options and coverage tiers, you can choose what fits your life best. Additional perks include discounted childcare through Bright Horizons and voluntary benefits like pet insurance, legal services, and identity theft protection. Well-Being & Financial Security - From day one, PTO starts accruing so you can take time to recharge. We support your long-term wellness with a 403(b) retirement plan and company match, flexible spending accounts, access to financial advisors, and up to $400/year in wellness rewards. When life gets tough, we're here with 24/7 EAP counseling, virtual mental health support, a food pantry, PTO donation program, and professional attire through the Classy Closet. Growth That Moves with You - With access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility, we help you grow wherever your passion leads. We also continuously review compensation to ensure market competitiveness and internal equity, so you can feel confident your work is valued and rewarded fairly. A Place to Call Home - Located in New York's Southern Tier, UHS offers more than a career-we offer a lifestyle. Enjoy four-season recreation, affordable living, top-rated schools, minor league sports, craft brews, a close-knit community, and more, all within reach of the Finger Lakes, the Catskills, and major Northeast cities. ----- About United Health Services United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York's Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region's population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers. At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission-we'd love for you to consider joining us! United Health Services is an Equal Opportunity Employer. ----- United Health Services, Inc. and the members of the UHS System neither are affiliated with, sponsored, endorsed nor approved by, nor otherwise associated with, Universal Health Services, Inc. (NYSE: UHS), UHS of Delaware, Inc. nor their affiliates, which can be found at ***************
    $20k-65k yearly est. Auto-Apply 37d ago
  • Nurse - CN

    Chautauqua Opportunities 3.8company rating

    Utilization review nurse job in Dunkirk, NY

    Conduct screenings and assessments and provide emergent care for illnesses and injuries to children in care; provide educational resources for families regarding child health and nutrition. Full-time Non Exempt $21.27/hour 35 hour/week Requirements Security Clearance Level 3 V, A, C, R Position Responsibilities and Specific Duties: Communicate with parents about their child's health needs and development concernsin a timely and effective manner Provide medical, oral, nutrition and mental health education support services that are understandable to individuals, including individuals with low health literacy Determine whether each child has ongoing sources of continuous, accessible health care and health insurance coverage. If the child does not have such a source of ongoing care and health insurance coverage, assist families in accessing a source of care and health insurance Ensure children are up-to-date on a schedule of age appropriate preventive and primary medical and oral health care; for those that are not, assist parents with making arrangements to bring the child up-to-date as quickly as possible Obtain or complete child health screenings within regulatory standards and initiates referrals for evaluation. Reviews child health records and health histories to ensure regulatory compliance. Develops and tracks individual health care plans, including special diets and medications. Provide emergent care for child injuries and illnesses Support Individualized Health Care Plans within scope of practice, including but notlimited to: Give injections Urinary catheterization care and support Tracheal tube care Feeding tube and ostomy management Assist in the development of the center's Health Care Plan. Coordinate the center's oral health hygiene program. Promote breastfeeding, including facilities to properly store and handle breast milk and make accommodations, for mothers who wish to breastfeed during program hours, and if necessary, provide referrals to lactation consultants or counselors; Work with mental health consultants to implement strategies to identify and support children with mental health and social and emotional concerns Documents children's incidents. Maintains complete information on CAPSYS and mandated health files. Administers medication in accordance with Federal and State regulations. Assist with maintaining inventory and ordering supplies/equipment. Provide care and supervision of children in need of medical care on a regular basis and in support of classroom staff on an as needed basis. Promotes agency mission. Maintains confidentiality and complies with the code of ethics. Maintains consistent professional customer service. Job performance incorporates integrated service delivery model while promoting self-sufficiency. Other duties as designated by supervisor Key Working Relationships: A. Internal: Early Care and Education team B. External: Customers, community agency representatives, school district staff, and local health providers Supervisory Scope: A. Number of staff supervised: 0 B. Titles supervised: n/a Organizational Responsibilities: Adheres to all policies and procedures Gathers appropriate documentation and tracks outcomes Participates in organizational committee structures as appropriate Participates in organizational and divisional management systems Knowledge, Skills Required: High School Diploma or GED required. Nursing experience with children preferred. New York State LPN license required; RN license preferred. Ability to work as an effective team member/leader. Strong computer, phone, written and verbal communication skills. Excellent organizational skills including ability to prioritize and accomplish multiple tasks, documentation, maintaining files, monitoring, and charting. Maintain positive and cooperative relationships internally and externally. Physical: Ability to lift up to and including 25-50 pounds of physical effort Special Requirements: Ability to work flexible hours. Must be able to provide consistent even tempered customer service at all times Pre-employment physical exams and TB Testing Valid Driver's license Reliable transportation Authorized Driver of a COI Vehicle Ability to travel throughout the county Pre-employment drug and alcohol testing required Works compassionately with a diverse population Experience navigating community programs
    $21.3 hourly 14d ago
  • Wound Ostomy Continence Nurse

    Kaleida Health 4.8company rating

    Utilization review nurse job in Cheektowaga, NY

    **Provides clinical expertise in ostomy, wound care, clinical oversight and application along with control of supply costs.** **Education And Credentials** **Graduate of accredited school of Registered Professional Nursing, Bachelor's Degree in Nursing preferred. Current licensure to practice as a Registered Nurse in NYS. Valid NYS drivers license. Ability to supervise Nursing Staff and Clinical Managers.** **Experience** **Minimum two (2) years in an acute care setting as an Enterostomal Nurse. Home Care experience desirable.** **Working Conditions** **Essential:** *** Weight Requirement - Medium (up to 50 lbs)** **Job Details** Department: VNA Disease Management Standard Hours Bi-Weekly: 80.25 Weekend/Holiday Requirement: No On Call Required: No **With Rotation:** **Scheduled Work Hours:** 8a-4:30p Work Arrangement: Onsite Union Code: N00 - Non Union KH Requisition ID#: 11914 Recruiter: Adrian G. Mudd Grade: Pay Frequency: Bi-Weekly **Salary Range:** $34.84 -$47.91 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _The VNA's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and the VNA envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. The VNA is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Wound Ostomy Continence Nurse **Location** US:NY:Cheektowaga | Nursing | Full-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $34.8-47.9 hourly 60d+ ago
  • LTC Ld Nurse Staffing Coord

    Kaleida Health 4.8company rating

    Utilization review nurse job in Buffalo, NY

    **Responsible for coordination and scheduling of the LTC Nursing Department Personnel according to established Policies and Union Contracts which ensures adequate/appropriate staffing levels. Coordinates position control audits and directs the activities of the Nurse Staffing Coordinator.** **Education And Credentials** High School diploma or G.E.D. required. **Experience** **1 year hospital or medical office experience with time schedule preparation and maintenance, Database and spreadsheet development and management required. Self-motivated, able to make decisions and problem-solve. Report any deviations to Nursing Administration. Advanced expertise in Microsoft Office software applications required, Windows, Excel Word, Kronos.** Working Conditions **Essential:** * Weight Requirement - Sedentary (10 lbs) **Job Details** Department: HPTE SNF Nursing Administration Standard Hours Bi-Weekly: 75.00 Weekend/Holiday Requirement: No On Call Required: No **With Rotation:** No **Scheduled Work Hours:** 6a-2p; 7a-3p; 8a-4p; 9a-5p; 10a-6p Work Arrangement: Onsite Union Code: N00 - Non Union KH Requisition ID#: 7688 Grade: HR208 Pay Frequency: Bi-Weekly **Salary Range:** $22.65 -$31.15 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** LTC Ld Nurse Staffing Coord **Location** US:NY:Buffalo | Clinical Support Staff | Full-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $22.7-31.2 hourly 60d+ ago
  • Staff Nurse SNF

    Kaleida Health 4.8company rating

    Utilization review nurse job in Buffalo, NY

    Department: HPTE SNF NU Kensington Heights Work Type: Part-Time **Scheduled Work Hours:** 3p-11p Shift 3 **Job Description** **Assesses and treats human responses to actual and potential health problems through such services as case finding, health teaching, health counseling and provision of care supportive or restorative of life and well-being. Executes medical regimens prescribed by a licensed physician, dentist or other licensed health care provider legally authorized under the NYS Education Department and in accordance with NYS Department of Health regulations. Adheres to current Kaleida policies and standards of practice.** **Education And Credentials** Current NYS registration as a Registered Professional Nurse/RN Permit and American Heart Association-Basic Life Support (BLS) required upon hire and must be maintained thereafter. Successful passing of background check required. **Experience** Working Conditions **Job Details** Standard Hours Bi-Weekly: 37.50 FTE: 0.500000 Weekend/Holiday Requirement: Yes On Call Required: No **With Rotation:** No Work Arrangement: Onsite Union Code: U06 - CWA 1168 BGH RN Requisition ID#: 540 Grade: RN2 Pay Frequency: Bi-Weekly **Salary Range:** $41.29 -$57.69 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Staff Nurse SNF **Location** US:NY:Buffalo | Nursing | Part-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $41.3-57.7 hourly 60d+ ago
  • Staff Nurse SNF

    Kaleida Health 4.8company rating

    Utilization review nurse job in Buffalo, NY

    Department: HPTE SNF NU Kensington Heights Work Type: Part-Time **Scheduled Work Hours:** 3p-11p Shift 3 **Job Description** **Assesses and treats human responses to actual and potential health problems through such services as case finding, health teaching, health counseling and provision of care supportive or restorative of life and well-being. Executes medical regimens prescribed by a licensed physician, dentist or other licensed health care provider legally authorized under the NYS Education Department and in accordance with NYS Department of Health regulations. Adheres to current Kaleida policies and standards of practice.** **Education And Credentials** Current NYS registration as a Registered Professional Nurse/RN Permit and American Heart Association-Basic Life Support (BLS) required upon hire and must be maintained thereafter. Successful passing of background check required. **Experience** Working Conditions **Job Details** Standard Hours Bi-Weekly: 37.50 FTE: 0.500000 Weekend/Holiday Requirement: Yes On Call Required: No **With Rotation:** No Work Arrangement: Onsite Union Code: U06 - CWA 1168 BGH RN Requisition ID#: 539 Grade: RN2 Pay Frequency: Bi-Weekly **Salary Range:** $41.29 -$57.69 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Staff Nurse SNF **Location** US:NY:Buffalo | Nursing | Part-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $41.3-57.7 hourly 60d+ ago
  • Staff Nurse SNF

    Kaleida Health 4.8company rating

    Utilization review nurse job in Buffalo, NY

    Department: HPTE SNF NU Hamlin Park Rehab Work Type: Part-Time **Scheduled Work Hours:** 7a-3p Shift 1 **Job Description** **Assesses and treats human responses to actual and potential health problems through such services as case finding, health teaching, health counseling and provision of care supportive or restorative of life and well-being. Executes medical regimens prescribed by a licensed physician, dentist or other licensed health care provider legally authorized under the NYS Education Department and in accordance with NYS Department of Health regulations. Adheres to current Kaleida policies and standards of practice.** **Education And Credentials** Current NYS registration as a Registered Professional Nurse/RN Permit and American Heart Association-Basic Life Support (BLS) required upon hire and must be maintained thereafter. Successful passing of background check required. **Experience** Working Conditions **Job Details** Standard Hours Bi-Weekly: 45.00 FTE: 0.600000 Weekend/Holiday Requirement: Yes On Call Required: No **With Rotation:** No Work Arrangement: Onsite Union Code: U06 - CWA 1168 BGH RN Requisition ID#: 7771 Grade: RN2 Pay Frequency: Bi-Weekly **Salary Range:** $41.29 -$57.69 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Staff Nurse SNF **Location** US:NY:Buffalo | Nursing | Part-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $41.3-57.7 hourly 60d+ ago
  • Staff Nurse SNF

    Kaleida Health 4.8company rating

    Utilization review nurse job in Buffalo, NY

    Department: HPTE SNF NU Delaware Park Work Type: Part-Time **Scheduled Work Hours:** 7p-7:30a Shift 3 **Job Description** **Assesses and treats human responses to actual and potential health problems through such services as case finding, health teaching, health counseling and provision of care supportive or restorative of life and well-being. Executes medical regimens prescribed by a licensed physician, dentist or other licensed health care provider legally authorized under the NYS Education Department and in accordance with NYS Department of Health regulations. Adheres to current Kaleida policies and standards of practice.** **Education And Credentials** Current NYS registration as a Registered Professional Nurse/RN Permit and American Heart Association-Basic Life Support (BLS) required upon hire and must be maintained thereafter. Successful passing of background check required. **Experience** Working Conditions **Job Details** Standard Hours Bi-Weekly: 48.00 FTE: 0.640000 Weekend/Holiday Requirement: Yes On Call Required: No **With Rotation:** No Work Arrangement: Onsite Union Code: U06 - CWA 1168 BGH RN Requisition ID#: 389 Grade: RN2 Pay Frequency: Bi-Weekly **Salary Range:** $41.29 -$57.69 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Staff Nurse SNF **Location** US:NY:Buffalo | Nursing | Part-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $41.3-57.7 hourly 60d+ ago
  • Staff Nurse SNF

    Kaleida Health 4.8company rating

    Utilization review nurse job in North Tonawanda, NY

    Department: DMP SNF Nursing 2 Work Type: Full-Time **Scheduled Work Hours:** 6p-6:30a Shift 3 **Job Description** **Assesses and treats human responses to actual and potential health problems through such services as case finding, health teaching, health counseling and provision of care supportive or restorative of life and well-being. Executes medical regimens prescribed by a licensed physician, dentist or other licensed health care provider legally authorized under the NYS Education Department and in accordance with NYS Department of Health regulations. Adheres to current Kaleida policies and standards of practice.** **Education And Credentials** Current NYS registration as a Registered Professional Nurse/RN Permit and American Heart Association-Basic Life Support (BLS) required upon hire and must be maintained thereafter. Successful passing of background check required. **Experience** Working Conditions **Essential:** * Weight Requirement - Medium (up to 50 lbs) **Job Details** Standard Hours Bi-Weekly: 72.00 FTE: 0.960000 Weekend/Holiday Requirement: Yes On Call Required: No **With Rotation:** Work Arrangement: Onsite Union Code: U12 - CWA 1168 DeGraff RN Requisition ID#: 12792 Grade: RN2 Pay Frequency: Bi-Weekly **Salary Range:** $41.29 -$57.69 *Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. _Kaleida Health's mission is to advance the health of our community, and we believe our diversity, equity, and inclusion (DEI) strategic work is mission- critical for the good of our workforce and the community who need and depend on our care and services. We understand that racism and health inequities stand firmly in the way of advancing the health of our community, and Kaleida Health envisions DEI as the pursuit of equity and restorative justice for every person. We will exemplify courage and accountability through both the professing and practice of our core values for our friends, colleagues, and community. Kaleida Health is committed to creating a culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Staff Nurse SNF **Location** US:NY:North Tonawanda | Nursing | Full-Time **Req ID** null Equal Opportunity Employer Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences. Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.
    $41.3-57.7 hourly 56d ago

Learn more about utilization review nurse jobs

How much does a utilization review nurse earn in Buffalo, NY?

The average utilization review nurse in Buffalo, NY earns between $57,000 and $101,000 annually. This compares to the national average utilization review nurse range of $47,000 to $89,000.

Average utilization review nurse salary in Buffalo, NY

$76,000

What are the biggest employers of Utilization Review Nurses in Buffalo, NY?

The biggest employers of Utilization Review Nurses in Buffalo, NY are:
  1. Pharmacy
  2. Molina Healthcare
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