- Catholic Charities Family Community Services (Rochester, NY)
- **RESTART Intake & Case Management Specialist** **Job Details** **Job Location** Jones House - Rochester, NY **Position Type** Full Time **Education Level** ... Shift** Evening **Description** Under general supervision, provides intake support, ongoing case management and referral coordination services to residential… more
- Arnot Health (Elmira, NY)
- …Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for ... is not to be considered inclusive of all duties that may be assigned. MEETINGS: Case management staff meetings. Case management staff development… more
- Crouse Hospital (Syracuse, NY)
- …day management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... State + Bachelor's degree + Five (5) years previous case management / discharge planning in an acute...acute care discharge planning + Preferred - Acute care utilization review experience Benefits Overview: + Medical,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …group. * Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational ... right for you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational ... Job Description: Summary: Conducts case management program activities in accordance...consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered… more
- Stony Brook University (Stony Brook, NY)
- … Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... RN Case Manager **Position Summary** At Stony Brook Medicine,...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… more
- Nuvance Health (Poughkeepsie, NY)
- …or BSN preferred. Must have current RN license. Preferred experience in Utilization Review / Management .Company: Vassar Brothers Medical Center Org Unit: ... The Nurse Case Manager role provide clinically-based case management to support the delivery of...physiological and economic perspectives. Has overall accountability for the utilization management and transition management … more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager. The ... Case Manager reports to the Manager of Case Management . Responsible for developing and managing...Management . * Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and… more
- WMCHealth (Warwick, NY)
- …or health care agency, one of which must have been in the area of utilization review , quality assurance, risk management or discharge planning. Education: ... (RN) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health System. This… more
- Stony Brook University (Stony Brook, NY)
- …use of resources. + Oversee staff performance including new staff orientation + Knowledge of Utilization Review and LOS + Review of high-risk complex cases. ... Master's Degree, + Certified RN, + CM Five years Case management experience + Recent tertiary care...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more