- Yale New Haven Health (Queens, NY)
- …and professionals, every day.Works under the supervision of the Nurse Manager /Clinical Coordinator. The Registered Nurse (RN) assesses, plans, implements, evaluates ... charge nurse.8. Meets performance expectations for Customer Service, Teamwork, Resource Utilization , and Staff and Self Development as outlined in performance… more
- Yale New Haven Health (Bronx, NY)
- …practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in ... Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization : The RN utilizes appropriate resources to plan provide and sustain… more
- 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
- Ellis Medicine (Schenectady, NY)
- …to Medicare beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . * Utilization Management Activities; Collaborates with ... Activities; Contacts referral agencies to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ...or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or ... 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
- Molina Healthcare (Buffalo, NY)
- …Active, unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. + One year… more
- Guthrie (Binghamton, NY)
- …clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for...in an acute care setting with strong care management, utilization review, and payer knowledge. A Case … more
- Ellis Medicine (Schenectady, NY)
- …The Discharge Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient ... beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management Activities: + Collaborates with Case… more
- Bassett Healthcare (Cooperstown, NY)
- …health and enjoy the best quality of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in facilitating patient ... management, care facilitation, and discharge planning functions. The Case Manager is accountable for a designated...in both areas. + Refers cases and issues to Case Review, Utilization Committee, Medical Director, and… more
- Molina Healthcare (Yonkers, NY)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... and quality initiatives under the direction of leadership. + Monitors drug utilization and assists leadership team in understanding quality and cost control issues… more
- Northwell Health (Staten Island, NY)
- …delays and resolves issues with appropriate departments. + Identifies appropriate utilization of Social Work Services and makes referrals when appropriate. + ... + Serves as a resource to the health care team regarding quality, utilization of clinical resources, payer, and reimbursement issues. + Works with on-site screeners… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- Albany Medical Center (Albany, NY)
- …Per Diem (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...with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources… more
- Excellus BlueCross BlueShield (Dewitt, 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
- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join #TeamMVP. If ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management model that...medically complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
- Nuvance Health (Poughkeepsie, NY)
- …- Discharge Planning primarily 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
- St. Catherine's Center for Children (Albany, NY)
- RESIDENTIAL CASE MANAGER Title: Case Manager , Residential Location: Albany, NY Program : Residential Case Management Type: Full-time / Non-Exempt Pay ... and adults throughout the region. Position Overview The Residential Case Manager (RCM) acts as the primary...insurance coverage - is required*. + Knowledge and the utilization of community resources. + Excellent organization, planning and… more
- BriteLife Recovery (West Kill, NY)
- Case Manager Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... Recovery a rewarding place to work. What you will be doing? The Case Manager is responsible for providing confidential addiction guidance, education and… more
- St. Catherine's Center for Children (Hudson, NY)
- CASE MANAGER , GALVAN HOMELESS SHELTER Location: Hudson, NY Program: Columbia County Homeless & Housing Services Type: Full-time / Non-Exempt Pay Range: $22.06 - ... children, families, and adults throughout the region. Position Overview The The Case Manager , Galvan Homeless Shelter is responsible for assisting… more
