Utilization Review Coordinator

Utilization Review Coordinator

Department : BGMC Utilization Review
Location: Buffalo General Medical Center
Location of Job : US:NY:Buffalo
Work Type : Full-Time
Scheduled Work Hours: 8a-4p
Shift 1

Job Description

Position responsible for coordinating utilization management/case review efficiently and effectively while aligning current and prospective patients' needs with resources to meet quality, clinical and cost outcomes working to achieve optimal outcomes for the patient. Case review may occur in preadmission, ambulatory surgery, clinic, physician office and impatient setting.

Education And Credentials

BS - Bachelor of Science degree in Nursing. Current NYS Registration as a Professional Nurse. Certified Case Manager (CCM) preferred.


Experience

3 years of experience in acute care nursing. 2 years of experience in any combination of: case management, home care and utilization review. Working knowledge of Microsoft Office Suite and Outlook. Use of computer applications related to health care industry. Knowledge of and experience with Interqual Criteria Set and Software Systems preferred. Employees in the job title prior to 3/29/10 are grandfathered and are not required to obtain their BSN.

Working Conditions

Essential:
* Weight Requirement - Light (up to 20 lbs)

Job Details

Standard Hours Bi-Weekly : 75.00
FTE: 1.000000
Weekend/Holiday Requirement: Yes
On Call Required : No
With Rotation:
Work Arrangement : Onsite
Union Code : U06 - CWA 1168 BGH RN
Requisition ID# : 16676
Grade : RN3
Pay Frequency : Bi-Weekly
Salary Range: $46.44 -$59.42

*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!