- Nuvance Health (Poughkeepsie, NY)
- …through various affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case ... cases are a priority and at a minimum the case manager reviews observation cases daily. 3....prevention and management of denials, including providing information as part of the appeal process. 6. Serves as the… more
- Northwell Health (Huntington, NY)
- **Req Number** 152919 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... using evidence based medical necessity criteria + Submits data to management regarding case management and/or quality initiatives + Serves as an in-patient liaison -… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager ... Manager of Case Management. Responsible for developing and managing the case management program and providing case management services to members. This… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager ... Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care...and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II**...and expectations for time onsite will be discussed as part of the hiring process. The health of our ... different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management… more
- CVS Health (Ridgewood, NY)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's Long-Term Services and Supports (LTSS) team ... and is a field-based position out of the Northern part of New Jersey, preferably Middlesex, Bergen, Essex, Somerset,...health and/or substance use disorders strongly preferred + Certified Case Manager Certification + Case … more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II**...and expectations for time onsite will be discussed as part of the hiring process. The health of our ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within… more
- Elevance Health (Latham, NY)
- ** Nurse Case Manager II** **Hours:...and expectations for time onsite will be discussed as part of the hiring process. The health of our associates ... integration, and ensures essential face-to-face onboarding and skill development. The ** Nurse Case Manager II** is responsible for care management within… more
- Immigration and Customs Enforcement (Batavia, NY)
- … Manager (RNM) with the Chief Nurse (CN) as reviewing official. The Nurse Manager serves as part of the local leadership team (TRIAD) the responsible ... and assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care, compliance with clinical...with Chief Nurse as reviewing official. The Nurse Manager serves as part … more
- Guthrie (Binghamton, NY)
- Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational outcomes timely, ... coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and...in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This includes, ... performance evaluation, performance improvement, and staff education. The NCM Manager serves as a resource/mentor for Case ...in monthly Nursing Department meetings. 5. Works with unit case managers, clinical nurse managers, physicians, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...clinical information requested by the managed care companies as part of the concurrent review in a timely fashion.… more
- Independent Health (Buffalo, NY)
- …candidates that reside in** **Florida, North Carolina, Georgia and Arizona.** **Overview** The Case Manager will be responsible for applying the six essential ... Provide input into support staff orientation and training as it relates to the Case Manager 's role. + Provide support, guidance, and direction to support staff… more
- Guthrie (Corning, NY)
- …RNs! Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the ... in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to...concise & timely manner as deemed appropriate by the case manager . 3. Identifies individual patient discharge… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager Mount Sinai West FT Days 8a-4p Inpatient** The Case Manager (CM) will be responsible for all aspects of case ... care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...clinical information requested by the managed care companies as part of the concurrent review in a timely fashion.… more
- CenterWell (Riverhead, NY)
- **Become a part of our caring community and help us put...love. Eastern Suffolk County As a **Home Health RN Case Manager ** , you will: + Provide admission, ... first** Make a meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients regain independence in… more
- Glens Falls Hospital (Glens Falls, NY)
- …can be found*here*. **Job:** **Nursing - Case Management* **Title:** *Registered Nurse (RN) - Care Manager (GFMG) (Flexible Scheduling Options for Per-Diem ... that may necessitate treatment change and will attend regular case review meetings. The Care Manager will...player * Ability to work independently as well as part of a team. * Strong Communication skills are… more
- CP Unlimited (Fishkill, NY)
- …for scheduling and accurately tracking medical/dental appointments and communication of information to the Nurse Case Manager . Shift Worked: M - F - Variable ... Medical Case Manager Counselor Type of Position...prescriptions for medications / treatments are communicated to the nurse and noted in the medication administration record. +… more
- MVP Health Care (Schenectady, NY)
- Professional, Hospital Case Manager 625 State St, Schenectady, NY 12305, USA Req #2261 Monday, May 19, 2025 At MVP Health Care, we're on a mission to create a ... improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you...+ Current New York State Licensure as a Registered Nurse required with at least 4 years of recent… more
- Bassett Healthcare (Cooperstown, NY)
- …preferred License/Certifications: Current NYS Licensure as a Registered Professional Nurse , required Case management certification, preferred Skills: Analysis ... provide care appropriate to each patient. Clinical and Technical Responsibilities: Provides case management services as appropriate throughout the life span and in… more