- MetroPlusHealth (New York, NY)
- …in a Psychiatric Hospital Inpatient and/or Outpatient experience with both case and utilization management. One-year HARP experience preferred.Field based ... proud of what you do every day.The HARP Care Manager develops, facilitates, and communicates a plan of care...and other resources to assist in goal achievement. Conduct Utilization Review for designated Case Management members… 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)
- …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 ... experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Garnet Health (Harris, NY)
- …effectively organize/prioritize accordingly, and implement evidence based care. Social Work Clinician/ Case Manager - primary role is to provide psychiatric/detox ... home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health...plan. The SW Clinician will also be the primary Case Manager for the detox patient on… 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
- 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 MSH Case ...a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management… more
- Stony Brook University (Stony Brook, NY)
- Case Manager - Part Time Temporary **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of our team, ... high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation… more
- Stony Brook University (Stony Brook, NY)
- Case Manager Supervisor **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/Supervisor Case Manager ** is a valuable member of our team, ... standard of excellence. **Duties of a TH Staff Associate/Supervising Case Manager in the Care Management Department...staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex… more
- Arms Acres (Bronx, NY)
- Case Manager CASAC-T, CASAC, LMSW, LMHC l Supporting clients in-house & in the community Bronx, NY ... several opportunities to do so! Arms Acres is a licensed facility providing inpatient and outpatient treatment for those suffering from addiction to alcohol or… more
- Crouse Hospital (Syracuse, NY)
- …preferred. + Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: + ... offers a full range of general and specialty care, inpatient and outpatient services, as well as community health...Crouse's Care Coordination Services team is hiring a Care Manager to review the services delivered to patients and… more
- Catholic Health (Buffalo, NY)
- …Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or any other certification approved by ... (the payers) and internal stakeholders including, but not limited to, Utilization Review, Case Management, Clinical Documentation Integrity, Health Information… more
- St. James Hospital (Hornell, NY)
- …information, assigns bed, and lets appropriate staff know. + Assists ED and Med/Surg manager with staff scheduling + Assists case management with completion of ... of all nursing staff within the facility along with elements of case management. Performs complex and varied tasks requiring independent knowledge, its application… more
- Molina Healthcare (Rochester, NY)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical… more
