- Molina Healthcare (Albany, NY)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… more
- Sharecare (Albany, NY)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Highmark Health (Albany, NY)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager ( RN ) provides support for care management/ care coordination activities and collaborates with ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- CVS Health (Albany, NY)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Intermountain Health (Albany, NY)
- …measures. **Job Essentials** + Work collaboratively with Select Health's HEDIS Manager , Quality Consultants, and Data Analyst + Responsible for performing accurate ... software on an assigned laptop + Reviewer will perform remote or offsite medical record reviews with charts collected...when and where the member received are and verify care was received. + Reviewer must pass a medical… more
- Molina Healthcare (Albany, NY)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and home health...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Albany, NY)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- University of Rochester (Albany, NY)
- …and/or management experience preferred KNOWLEDGE, SKILLS AND ABILITIES LICENSES AND CERTIFICATIONS - RN - Registered Nurse - State Licensure and/or Compact ... place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United...time Scheduled Weekly Hours: 40 Department: 900398 URMC Accountable Care Network Work Shift: UR - Day (United States… more
- Highmark Health (Albany, NY)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Molina Healthcare (Albany, NY)
- …education and experience. r equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... deadlines. Excellent organizational, problem-solving and critical-thinking skills. Preferred Qualifications + Registered Nurse ( RN ). License must be active… more
- Molina Healthcare (Albany, NY)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- Molina Healthcare (Albany, NY)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... **Job Description** This position will offer remote work flexibility, but the individual hired for...Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and… more
- Molina Healthcare (Albany, NY)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- LIFEPlan CCO NY (Clifton Park, NY)
- ** CARE MANAGER HIRING EVENT** ONSITE INTERVIEWS**...years of relevant experience, or a license as a Registered Nurse with two years of relevant ... looking for passionate individuals to join our team of Care Manager - the heart of our...for more than one hour. This is not a remote position. This is a flexible work environment position… more
- Sharecare (Albany, NY)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (Albany, NY)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Humana (Albany, NY)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Sedgwick (Albany, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Albany, NY)
- …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more