- Centers Plan for Healthy Living (Staten Island, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate ... achievement of quality and cost, patient outcomes. The Case Manager works collaboratively with interdisciplinary staff...and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN)… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center, Bronx Campus, P26040 Occupational Category ... Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree...for full and unconditional participation in the Medicaid and Medicare programs. If you receive an appointment, your continued… more
- Ellis Medicine (Schenectady, NY)
- SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management of assigned patients on a designated unit(s). This position works with ... compassionate, efficient quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay are medically… more
- MVP Health Care (Tarrytown, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a **Professional, Case Manager ** to join #TeamMVP. If you have a passion for ... member's comprehensive health needs. + Through collaborative efforts the Case Manager will identify the medical and...delivery system, including but not limited to Medicaid and Medicare benefits. + The overall objective is to create… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony...Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on ... Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of...for admission. Follows the process for Code 44 on Medicare patients. Follow the process for Code 44 on… more
- Bassett Healthcare (Cooperstown, NY)
- …optimum health and enjoy the best quality of life possible. What you'll do The Case Manager RN - ED acts a principle liaison between emergency services, surgical ... are executed in the appropriate level of continuum. The Case Manager RN - ED maintains current...protocols to make recommendations for unit placement Review traditional Medicare fee for service (FFS) using the two-midnight rule… more
- Healthfirst (NY)
- The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... and case management as assigned. The Case Manager , Utilization Management is also responsible...Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & Medicaid Services (CMS) or New York State… more
- Guthrie (NY)
- Make a Difference One Home at a Time - Become a Case Manager with Guthrie Home Health, Waverly NY Looking for flexibility, autonomy, and purpose in your nursing ... New York is seeking a disciplined, compassionate, and community-minded, full time, Registered Nurse Case Manager to join our dedicated team in Waverly, NY. As a… more
- Northwell Health (Staten Island, NY)
- …companies and physicians regarding utilization issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to ... management of patient care outcomes. + Submits data to management regarding case management and/or quality initiatives. + Participates in data collection regarding… more