- Highmark Health (Albany, NY)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care Manager (Req 100959) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description GENERAL ... Patient Centered Medical Home (PCMH), the Registered Nurse Care Manager ( RN ) at...intermediate proficiency with computer use; BLS Certification Preferred Qualifications: Case Manager (CM) certification. Flexibility to adjust… more
- Sharecare (Albany, NY)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- CVS Health (Albany, NY)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Oncology or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- MVP Health Care (Schenectady, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... Case Manager , Medicaid Long Term Support... Case Manager , Medicaid Long Term Support Program 625 State...complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
- Molina Healthcare (Albany, NY)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Ellis Medicine (Schenectady, NY)
- SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works ... quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay...and accurately in medical record + Identifies patients with complex discharge planning needs and complex psychosocial… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Trinity Health (Troy, NY)
- …are only a phone call away, and more! **Join us for a day and shadow an experienced RN Case Manager ! See why RNs who transition to home care love what they ... hour shifts!** + **Three 12 hour shifts!** Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for...has a rewarding opportunity for a full time Specialty RN to join our team caring for patients in… more
- Molina Healthcare (Albany, NY)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Molina Healthcare (Albany, NY)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Elevance Health (Latham, NY)
- **Telephonic Nurse Case Manager I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Latham, NY)
- …essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing psychiatric and substance abuse or ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- New York State Civil Service (Albany, NY)
- …State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Albany office. ... of the unit's mission. Minimum Qualifications Qualifications: * A current New York State Registered Professional Nurse 's license; * A minimum of seven (7) years… more
- Elevance Health (Latham, NY)
- …**Medical Management Nurse ** is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. + May make recommendations… more