- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Mount Sinai Health System (New York, NY)
- …in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum of 3-5 years? ... **Job Description** **RN/ Case Manager Mount Sinai West FT...+ Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management… more
- Molina Healthcare (Yonkers, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... who be licensed in the state they reside. We are looking for a RN Manager to manage a utilization management team supporting 14 Marketplace plans. Home office… more
- Catholic Health (Buffalo, NY)
- …prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease Manager , Population Health, Discharge Planning or ... to 4:00 pm Summary: The Registered Nurse (RN) Care Manager - Utilization Review, as an active member of...or obtained within 6 months + National Certification in Case Management preferred EXPERIENCE + Two (2) years medical… more
- Arnot Health (Elmira, NY)
- …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...an assigned service - required + Recent experience in case management, utilization management and/or discharge planning/home… 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 an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Ellis Medicine (Schenectady, NY)
- …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …auditor within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- Nuvance Health (Poughkeepsie, NY)
- …affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support ... physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more
- Guthrie (Corning, NY)
- Position Summary: In collaboration with the interdisciplinary healthcare team, the Case Manager will coordinate the flow of services throughout the patient's ... in a through, concise & timely manner as deemed appropriate by the case manager . Identifies individual patient discharge needs in collaboration with other… more
- Catholic Charities Family Community Services (Newark, NY)
- ** Case Manager ** **Job Details** **Level** Experienced **Job Location** Hannick Hall Residence - Newark, NY **Position Type** Full Time **Education Level** ... day of admission. * Support Intake Manager and work collaboratively with Financial Case Manager to verify and ensure insurance and other services are active… more
- St. Catherine's Center for Children (Hudson, NY)
- CASE MANAGER , CCHI/ COLUMBIA-GREENE SUPPORTED HOUSING Title : Case Manager , Columbia County Homeless Intervention ("CCHI") /Columbia-Green Supported ... about us, please visit our website at: www.st-cath.org Position Overview: The Case Manager , Columbia Co. Homeless Intervention/ Columbia-Greene Supported Housing… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of resources… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager . This job ... About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation… more
- MVP Health Care (Rochester, NY)
- Case Manager , Medicaid Long Term Support Program 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2302 Friday, December ... continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program**...key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that… more
- Mohawk Valley Health System (Utica, NY)
- RN Case Manager - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case Management Department. ... compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review/ case management experience or social work experience.… more
- WMCHealth (Warwick, NY)
- Case Manager (RN) Company: St Anthony Community Hospital City/State: Warwick, NY Category: Nursing/Nursing Management Department: Care Management Union: NO ... $53.93 Apply Now External Applicant link Internal Applicant link Job Details: The Case Manager (RN) is responsible for implementing and supervising the… more