- Mount Sinai Health System (New York, NY)
- …to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps to identify, understand and prioritize at-risk members ... in need of care management . Helps stratify our membership to optimally use resources to focus on the patients most in need, currently or in the future. 3.… more
- Mohawk Valley Health System (Utica, NY)
- …review of cases greater than 4 days or the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care ... PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level of… more
- Datavant (Albany, NY)
- …aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use ... standards (FHIR, HL7, APIs) to enable seamless enablement with EHRs, care management platforms, and third party integrations. + Balance innovation with… more
- Elevance Health (Latham, NY)
- …Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex ... needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Primary care & management of women's health, including obstetric & gynecological care . Both low risk and high-risk pregnancies are ... needed. f. Identify risk factors & develop appropriate plan of management . g. Manage the care of selected patients admitted to the inpatient unit-based on unit… more
- Molina Healthcare (Syracuse, NY)
- …also include but not limited to, collaborate with CM Leadership ensuring the Care Management Monitoring Tool (CMMT) is run every workday and cases ... practice with managed care , hospital nursing, utilization and/or care management experience. **Preferred License, Certification, Association** Active,… more
- Albany Medical Center (Albany, NY)
- …and responses to, care rendered. * Applies sound nursing judgment in patient care management decisions. * Provides primary and emergency care for ... to, care rendered. * Applies sound nursing judgment in patient care management decisions. * Provides primary and emergency care for occupational and… more
- CVS Health (White Plains, NY)
- …the overall care plan and reporting outcomes. **Fundamental Components** + Care Management activities are conducted through a combination of telephonic and ... include visits to member homes, in the community, and/or provider locations. + Care management activities will focus on quality of care , compliance, outcomes… more
- Mount Sinai Health System (New York, NY)
- …Operational healthcare experience in the areas of project management , change management , health care management preferred. Non-Bargaining Unit, 800 - ... (AKA Senior Project Manager) provides support from a program management perspective for the improvement of quality, operational or...We share a common dedication to delivering outstanding patient care . When you join us, you become part of… more
- Catholic Health Services (Melville, NY)
- …and develops standard system-wide implementation plans and policies. Works with system Care Management (CM) leadership and Catholic Health Physician Advisors (as ... 4. Knowledge, Skills and Abilities: Strong clinical acumen. Knowledge of care management principles, processes, and their practical application preferred.… more