- MVP Health Care (Rochester, NY)
- …through the coordination of quality cost effective care . + The Care Manager will also monitor and review cases with the appropriate provider and on-site ... confidentiality. + Ability to make independent decisions regarding resource utilization , and quality of care . + Must...facilities. + In collaboration with hospital discharge staff, the Care Manager will identify the medical and… more
- CenterLight Health System (Ridgewood, NY)
- …and members' responses to interventions to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments ... 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
- FlexStaff (Flushing, NY)
- …and members' responses to interventions to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments ... 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
- Mount Sinai Health System (New York, NY)
- …+ Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or ... 1. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management...2. Provides the clinical information requested by the managed care companies as part of the concurrent review… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The CARE Case Manager provides strengths-based assessment, intervention, ... success and to enhance their holistic well-being. The Case Manager exercises independent judgment while coordinating with the Director...students in need of additional support. + Conduct initial review of CARE referrals using the process… more
- MVP Health Care (Rochester, 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
- CVS Health (New York, NY)
- …we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations (Managed Long-Term Care ) will oversee the day-to-day management ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Northwell Health (Staten Island, NY)
- …in case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care /discharge planning, preferred. ... team. + Serves as a resource to the health care team regarding quality, utilization of clinical...utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of… more
- Ellis Medicine (Schenectady, NY)
- …provided by the Case Manager include, but are not limited to, utilization review , case management, care transition, collaboration with physicians and ... experience in a hospital environment preferred. + Previous case management, utilization review , and discharge planning experience highly preferred. Home… more
- Pfizer (New York, NY)
- **R** **ole Summary** As a Contract Manager you will be accountable for having a general working knowledge of the pharmaceutical and managed care industries. You ... ability to learn or have a general working knowledge of Managed Care (Commercial, Part D, Medicare, Medicaid, Healthcare Insurance Exchanges), general concepts of… more