- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Medicare Wellness Registered Nurse will schedule and conduct Medicare Annual Wellness visits in Primary Care Offices. Provides ... is required by the time of appointment. Preferred Qualifications: Experience with Medicare wellness visits and collaborating with a multi-disciplinary team. EPIC… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Position Summary: Upstate University Medical Associates at Syracuse Inc. (UUMAS) is seeking a Registered Nurse ( RN ), or Certified Nurse Specialist (CNS), ... to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role is essential in enhancing patient outcomes through… more
- Guthrie (Binghamton, NY)
- …prevention of patient populations through nursing-patient collaboration and patient education. This nurse performs the Medicare Annual Wellness Visit under ... Up to a $15,000.00 Sign on Bonus!! Summary: The Wellness Nurse plays a key role in...experience with care management/utilization review, and payer knowledge. + RN considered. Education: + Completion of an accredited LPN… more
- 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
- Finger Lakes Health (Seneca Falls, NY)
- …providers, setting up exam rooms, retrieving records, administering vaccines/injectables, performing Medicare Wellness Visits, & point of care testing, working ... - $40.03 Job Description Under the direction of the RN Supervisor LMA, and in accordance with the approved...healing and achieve the best possible clinical outcomes. The Registered Professional Nurse will use nursing process… 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 direct care...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. + ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...Special Needs Program (SNP) team. All of our SNP RN Care Managers are work at home associates, working… more
- Elevance Health (Middletown, NY)
- **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the tri-state area (NY, NJ, or CT). **_Virtual:_** This role enables associates ... as required by law._ The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's...based on state law and/or contract. + CHHA and/or Medicare Experience Preferred. For candidates working in person or… more
- CenterWell (Albany, NY)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... your skills to make an impact** **Required Qualifications** + Active unrestricted Compact RN license. + A minimum of three years clinical experience. + Prior… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with ... and up-to-date knowledge of all Government Programs regulations (Medicaid, Medicare , Federal Employee Program, New York State Department of...on or before December 28, 2022. + Current NYS RN license with a minimum of three years clinical… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …development and promotional opportunities. All Levels + Associates degree and active NYS RN license required. Bachelors degree preferred. + Minimum of three years of ... managed care benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid) and benefits, preferred. + Strong written and verbal… more
- CVS Health (Albany, NY)
- …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and… more
- Humana (Albany, NY)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred… more
- CDPHP (Latham, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for… more
- Humana (Albany, NY)
- …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- Sunrise Senior Living (Hicksville, NY)
- …degree in Nursing (BSN) or related healthcare field; Master's degree preferred + Current Registered Nurse ( RN ) license in the state/province of operation + ... needs of all clients to maintain their health and wellness . + Be on call 24/7 for client/family questions...CHPN, OASIS) preferred. + Knowledge of home health regulations, Medicare /Medicaid rules, and clinical standards + Free from any… more
- CVS Health (Albany, NY)
- …Operations and others on initiatives for Stars/quality improvement **Required Qualifications** - Registered Nurse with active and unrestricted license in state ... **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading… more
- Intermountain Health (Albany, NY)
- …expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses ( RN ) and Intermountain Physician Advisors to review ... with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US… more
- CenterWell (Hauppauge, NY)
- …( HHA )** : + Provides direct patient care to patient under direction of the RN and according to the Aide Plan of Care (POC). + Correctly assists the patient with ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your… more
- Humana (Albany, NY)
- …governed by the Department of Insurance and CMS **Preferred Qualifications** + Active RN + Graduate or advanced degree + Audit or consulting experience + Experience ... that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while… more