- Molina Healthcare (Albany, NY)
- …of Nursing. Bachelor's degree in Nursing preferred. **Required Experience** + 3-5 years clinical nursing experience, with 1-3 years Managed Care Experience in ... Education** Bachelor's Degree in Nursing **Preferred Experience** 5+ years Clinical Nursing experience, including hospital acute care /medical experience.… more
- Rochester Presbyterian Home (Rochester, NY)
- RN Case Manager - Assisted Living Creekstone Memory Care - Fairport, NY Full Time/Part time Salary Range: $30 - $45/hour based on experience Rochester ... take on a leadership role as the RN Memory Care Case Manager at our Creekstone Memory...skills, the ability to follow standards/procedures, and make appropriate clinical judgements to provide safe and effective care… more
- Independent Health (Buffalo, NY)
- …with each coding system preferred. + Experience and proficiency reviewing health care delivery against clinical quality, as well as financial established ... coding guidelines and financial policies/contracts. + Responsible for all reconsideration clinical appeals to include review of records, consultation with… more
- CenterLight Health System (NY)
- …not limited to enrollment, disenrollment, electronic/paper medical record, and any other clinical notes. + Review participants' charts for quality and address ... nursing standards of excellence with advance professional education to deliver high-quality care . Serve the organization as a member of the management team, working… more
- CenterLight Health System (Ridgewood, NY)
- …not limited to enrollment, disenrollment, electronic/paper medical record, and any other clinical notes. + Review participant's charts for quality and address ... nursing standards of excellence with advanced professional education to deliver high-quality care . Serve the organization as a member of the management team, working… more
- Mount Sinai Health System (New York, NY)
- … trials. 6. Obtains informed consent under supervision of the Principal Investigator, Clinical Research Manager , or Senior Clinical Research Coordinator for ... **Job Description** Under minimal supervision, coordinates the clinical assessments of the study subjects; analyzes and assists in interpreting moderately complex … more
- Molina Healthcare (Syracuse, NY)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing, utilization and/or ... assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...illness and the site of service. The Lead, HCS ( Clinical ) functions as clinical staff lead in… more
- MVP Health Care (Tarrytown, NY)
- …capability through the coordination of quality cost effective care . + The Case Manager will also monitor and review cases with the Medical Director to ensure ... At MVP Health Care , we're on a mission to create a...improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program** to join #TeamMVP.… more
- Nuvance Health (Poughkeepsie, NY)
- …Collaborates in monthly clinical meetings with providers and staff to review clinical KPI and implement/monitor process improvement plan. 10. Maintains and ... activities as necessary. 6. In collaboration with Medical Practice Nursing Education/ manager , mentors, orients, trains, educates and supervises clinical staff… more
- Helio Health Inc. (Syracuse, NY)
- …other behavioral healthcare issues. We're currently seeking a skilled and compassionate Clinical Supervisor to join our leadership team and support the professional ... growth, accountability, and clinical integrity of our behavioral health team and the...quality improvement initiatives and performance management systems that elevate care across the program. We're looking for someone who:… more