- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required. + Minimum… more
- BAYADA Home Health Care (Oneonta, NY)
- …provided, utilizing a state-of-the-art touch pad tablet. **Qualifications:** + A current license as a Registered Nurse in New York State. + A minimum of one year ... **At Home Care, Inc. is a Medicare certified home health agency with a 4...Home Care, Inc.** is looking for compassionate and dedicated ** Registered Nurses ( RN )** to join our team… more
- CVS Health (Albany, NY)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... Management, Discharge Planning, and/or Home Health Care coordination experience - Certified Case Manager is preferred. - Excellent analytical and problem-solving… more
- Trinity Health (Latham, NY)
- … - Full Time - Eddy SeniorCare (Latham) Eddy SeniorCare has a rewarding opportunity for an RN Case Manager to work out of our 385 Watervliet Shaker Road, ... Care through teaching, counseling, and appropriate preventive services. The Registered nurse ( RN ) is responsible...our facility, and as may be required by the Nurse Manager of Clinical Operations, to ensure… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position...other duties as required. **Qualifications** **Required** : Current NYS RN . A Bachelor's degree or a nurse ... Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on… more
- CAI (Albany, NY)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services ... enterprise. **Job Summary** We are looking for a motivated Case Manager , RN ready to...in Acute Care, Managed Care, or experience working with Medicaid/ Medicare populations + Strong knowledge of medical terminology, diagnostic… more
- Northwell Health (Staten Island, NY)
- …Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State. + Case Management Certification, preferred. + Minimum ... companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to… more
- CenterWell (Westbury, NY)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... sit on-site at our Westbury, NY branch location.** The ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Humana (Albany, NY)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare ,… more
- Guthrie (NY)
- …Home Health - New York is seeking a disciplined, compassionate, and community-minded, full time, Registered Nurse Case Manager to join our dedicated team ... Difference One Home at a Time - Become a Case Manager with Guthrie Home Health -...our team! + $10,000 Referral Bonus - Refer an RN and earn big. + Comprehensive Medical and Dental… more
- Arnot Health (Bath, NY)
- …of all duties that may be assigned. EDUCATION: Current New York State Registered Nurse Licensure. BSN preferred. Certification in nursing specialty desirable. ... Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. +...g. Will be responsible for the completion of all RN /LPN and CNA annual evaluations as assigned. h. Will… more
- Ellis Medicine (Schenectady, NY)
- SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works ... quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more
- HCR Home Care (Rochester, NY)
- Salary Range: $89,000.00 - $99,000.00 Annually Role and Responsibilities The Clinical Manager is an RN who supervises a potentially interdisciplinary team of RNs ... to Agency standards as well as legal/regulatory standards . + Conduct case conferences (informal, supervisory or interdisciplinary) to discuss client issues, plan of… more
- Glengariff Rehabilitation and Healthcare Center (Glen Cove, NY)
- …with federal and state regulations and company policy and procedures. Acts as in-house case manager by considering all aspects of the residents care and ... that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents...by their supervisor and Administrator MDS Coordinator Qualifications: + Registered Nurse with current, active license in… more
- Mohawk Valley Health System (Utica, NY)
- RN Care Manager - Occasional - Days Department:...Licensed and currently registered to practice as a Registered Professional Nurse or BSN in New York ... CARE MANAGEMENT SERVICES Job Summary The Care Manager is responsible for completing a comprehensive assessment to...effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal… more
- Healthfirst (NY)
- … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… more
- Elevance Health (Middletown, NY)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... to identify red flags/aberrant billing patterns. + Manages cases as assigned, prioritizing case load as appropriate. Maintains case logs, prepares records and… more
- Trinity Health (Syracuse, NY)
- …strongly preferred). + Master's degree preferred. + Certification (CPHRM) is preferred. + Registered Nurse preferred. + Ideally, the candidate will have 3-5 ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** None **CAREER PATH:** Management… more
- Ellis Medicine (Schenectady, NY)
- …Workers (SW). The Discharge Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to ... activities under the direction of a registered nurse and/or social worker. Responsibilities include maintaining case...in the discharge plan. + Assists Case Manager with medication prior authorizations. + Provides Medicare… more