- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' Compensation and ... other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care...disability services for timely return to work. + Provides case management , utilization review, continued stay reviews,… more
- Elevance Health (Latham, NY)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II** **Location: This...in multiple states. **Preferred Capabilities, Skills and Experiences:** + Case Management experience. + Certification as a… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... evidence based medical necessity criteria + Submits data to management regarding case management and/or...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- Nuvance Health (Poughkeepsie, NY)
- …of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... Paces the case from physiological and economic perspectives. Has overall accountability...and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- Elevance Health (Latham, NY)
- ** Nurse Case Manager II** **Work Schedule: M-F...granted as required by law. The ** Nurse Case Manager** II is responsible for care management ... needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. +… more
- Highmark Health (Albany, NY)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by… more
- Northwell Health (Valley Stream, NY)
- … management using evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves ... federal, and third party payer regulations. + Documents the case management process in the medical record;...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- MVP Health Care (Rochester, NY)
- … Nurse required with at least 4 years of recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2 years ... improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a...of employment. + Previous experience in Care & disease management or a related healthcare role. + Ability to… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Palliative Care Case ManagerDepartment: Hospice Hours Per Week: 40 hoursSchedule: Days SUMMARY: The RN Case Manager is responsible for the delivery of ... changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those...of 2 years of home care experience. + Registered Nurse license in New York State. + Valid NYS… more
- Nuvance Health (Carmel, NY)
- …1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management certification preferred. 2.Work Experience:3 years ... setting; Leadership experience preferred; Utilization review, discharge planning or case management experience preferred. Location: Carmel-PHC 670 Stoneleigh… more