- Catholic Health Services (West Islip, NY)
- …Staff. + Ensures compliance with Hospital Conditions of Participation. + Implements care management programs, including utilization review , intake and ... but not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and...York Registered Nurse (RN) License & Registration. + Certification: Care Manager Certification (CCM) preferred. Salary Range… more
- CVS Health (Albany, NY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case… more
- Mohawk Valley Health System (Utica, NY)
- …compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience. ... RN - Case Manager - Full Time - Days - 4...overall evaluation of individual patient needs. Promotes continuity of care and cost effectiveness through the integrating and functions… more
- Burns & McDonnell (Manhattan, NY)
- …+ Provide leadership to the team; direct and coordinate work assignments and review performance to ensure the efficient, cost-effective utilization of staff. + ... **Description** The Project Delivery Manager will manage a team of professionals assigned...incentive bonus program. **Benefits** Our extensive benefits package takes care of you so that you can focus on… more
- Highmark Health (Albany, NY)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... member needs and/or triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with… more
- Garnet Health (Harris, NY)
- …Swing Bed, Acute, and Emergency Department Patients. Responsible for discharge planning, utilization review , team conferences and unit-based rounds. Acts as a ... and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders and dedicated...make your career home with us as a Case Manager on our Case Management team at/in Garnet Health… more
- Bassett Healthcare (Cooperstown, NY)
- …exceptions, as measured by direct supervisory observation and random supervisory chart review + Demonstrates consideration of safety, effective utilization of ... Nurse RN will provide clinical support and direct patient care in a variety of inpatient units during peak...than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback +… more
- Guardian Life (Albany, NY)
- …to Dental Support Organization (DSO) partners. As a **Key DSO Dental Account Manager , Dental Support Organizations** , you will be responsible for growing the ... activities, and reviewing with the group any identified outlier utilization patterns. You are An experienced dental network recruiter/salesperson with… more
- Cardinal Health (Albany, NY)
- …company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 ... atmosphere. We currently have a career opening for a Territory Account Manager , Pharmacy Solutions Consultant. **Territory** This role will travel and support… more
- Northwell Health (Sleepy Hollow, NY)
- …- planning, assessing, implementing and evaluating patient in collaboration with the health care team. + Conducts chart review for appropriateness of admission ... the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses,… more
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