- Excellus BlueCross BlueShield (Buffalo, NY)
- …Nurse (RN) reviewers and manages the denial process. + Leads interdisciplinary complex care management rounds. + Provision of clinical oversight and leadership ... overall accountability for BH services for all Medicaid Managed Care enrollees under age 21 years. Essential Responsibilities/Accountabilities: +...to Utilization Management /Case Management (UM/CM) staff working with the… more
- CenterLight Health System (NY)
- …facilitation by the IDT of the implementation of the core function of effective care management : ensuring that the IDT provides the assessment, planning, care ... Health Center, rehab department, nutritional services, social workers, and home services management . + Accountable for coordinating Care Planning meetings as… more
- Elevance Health (Latham, NY)
- …is granted as required by law. The **Nurse Case Manager** II is responsible for care management within the scope of licensure for members with complex and ... needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. +… more
- Highland Hospital (Rochester, NY)
- …(if applicable) experience preferred. Progressive clinical experience including: community health, care management , and/or disease management is preferred. ... Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and treatment… more
- Hillside Family of Agencies (Rochester, NY)
- …health care services team. This role is also responsible for providing health care oversight and medical care management for an identified caseload of ... Support and complete work as assigned as a member of the Health Care Services Management team. + Assume remote on-call responsibilities on a rotating basis as… more
- University of Rochester (Rochester, NY)
- …to discharge plan, up to 1 week. Working closely with health home care management agencies, may facilitate new referrals, reinforce existing connections to ... health home services with any care management agencies and serve as a centralized in-house expert on facilitating health home connections for CPEP patients.… more
- New Horizon Counseling Center (Brooklyn, NY)
- …Type: Full-Time About Us: We are a dynamic, client-focused health home care management agency dedicated to providing high-quality, personalized care ... of six care managers in the field of health home care management . The ideal candidate will have hands-on experience supporting diverse populations, including… more
- Sharecare (Albany, NY)
- …consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly ... the greater team and aid in their personal development as a Care Manager. + Provide performance management for the team of Care Managers to include formal… more
- Rochester Regional Health (Rochester, NY)
- …application created for virtual nursing. Uses include: eICU, remote ED triage, virtual care management eg pharmacy, diet management , specialty consults, ... post-surgical wounds, allowing our team to develop advanced wound management expertise. + Care of post-operative patients...social work & care management Our nurses are highly skilled, resilient, and compassionate… more
- Rochester Regional Health (Rochester, NY)
- …medication histories (in-home, telephonic) with handoff to another member of the care management team, as appropriate + Medication-use Projects: Participate in ... in applications and resources used in high cost drug and care management programs + Coordinate and collaborate with contracted entities including insurers,… more