- MVP Health Care (Schenectady, NY)
- …New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months ... medically complex Medicaid members. Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION **Job Summary** The Care Manager ( RN ) provides support for care management/ care coordination activities and collaborates with ... recommendations to peers as needed. * Care manager RNs may be assigned complex member...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Whitney Young Health Center (Albany, NY)
- Registered Nurse ( RN ) Care Manager (Req 100984) Albany, NY (http://maps.google.com/maps?q=920+Lark+Drive+Albany+NY+USA+12207) Apply Description Be a ... patient population for care coordination. + The RN Care Manager supports the...or specialty referrals that require the Care Manager to assist/follow patient in navigating complex … 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
- 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
- Molina Healthcare (Albany, NY)
- …provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication regimens. * ... Care manager RNs may conduct medication reconciliation as needed. *...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… 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 ... outreach and follow-up. + Assists in developing and implementing care plans for medically complex patients. + Identifies barriers to a successful care… 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)
- …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
- 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 ... care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,...reimbursement to providers. * Identifies and reports quality of care issues. * Assists with complex claim… 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
- Trinity Health (Albany, NY)
- …personnel and that the plan of care is evaluated + Directly accountable to the Nurse Manager for the quality of patient care delivered + Modifies and ... complex IV insertions, phlebotomy, wound vac management, and operation of critical care devices. **Responsibilities:** + The RN is responsible for assessing… more
- Trinity Health (Troy, NY)
- …join our team caring for patients in their homes. Work in an interdisciplinary approach to care . Discuss complex cases as a team. ** Care for ONE PATIENT AT ... Minimal weekend and holiday rotations. **Requirements:** + 1-2 years RN acute care experience required. + Valid...**Join us for a day and shadow an experienced RN Case Manager ! See why RNs who… more
- Molina Healthcare (Albany, NY)
- …and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with Complex Claim review including DRG ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… 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...be the trusted partner for individuals and families navigating complex systems of support. You'll lead the development of… more
- MVP Health Care (Schenectady, NY)
- …York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 ... monitoring, and advocacy to meet the needs of medically complex Medicaid members. + Through collaborative efforts the Case...functional capability through the coordination of quality cost effective care . + The Case Manager will also… 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 ... and evaluate the medical services required to meet the complex health needs of TRICARE beneficiaries, to maximize each...desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Manager for Intensive Care Unit @St Peters Hospital FT Days 8hrs shifts **Purpose** ... The Nurse Leader (NL) is a licensed registered nurse ( RN ) accountable for...shows the value of patient & family participation in care . ** Nurse Leader (NL) II** **_Functional Role… more
- Trinity Health (Albany, NY)
- …and career development **Purpose:** The Nurse Leader (NL) is a licensed registered nurse ( RN ) accountable for leading, managing & advancing people, ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse Manager - Urology Division** If...your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position… 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
