Nursing Utilization & Case Review Coordinator

IntelliResume; Buffalo (NY); On-site; USD 63,370,000 - 169,059,000; Full time

Job summary

Kaleida Health in Buffalo, NY is seeking an Utilization Review Coordinator to oversee utilization management and case review, ensuring patient needs align with available resources to support quality and cost outcomes. This role is a Full-Time, Day shift position at Buffalo General Medical Center.

You will coordinate reviews across preadmission, ambulatory surgery, clinic, physician office, and inpatient settings.

Qualifications

• BS in Nursing and NYS Registered Professional Nurse (RN) are required.
• Certified Case Manager (CCM) preferred.
• 3 years of acute care nursing experience; 2 years in case management or utilization review.

Responsibilities

• Coordinate utilization management and case review efficiently.
• Align current and prospective patients' needs with resources.
• Work to achieve optimal outcomes for patients.
• Conduct case reviews in preadmission, ambulatory surgery, clinic, physician office, and inpatient settings.

Skills

Utilization management

Case management

Nursing care

Education

BS - Bachelor of Science in Nursing

NYS Registered Professional Nurse (RN)

Job description

Kaleida Health in Buffalo, NY is seeking an Utilization Review Coordinator to oversee utilization management and case review, ensuring patient needs align with available resources to support quality and cost outcomes. This role is a Full-Time, Day shift position at Buffalo General Medical Center.

You will coordinate reviews across preadmission, ambulatory surgery, clinic, physician office, and inpatient settings.