- Excellus BlueCross BlueShield (Rochester, NY)
- …to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates in rotating on-call schedule, as required, ... explaining processes for accessing Health Plan to perform medical review, obtains case or disease management support, or otherwise interacts with Health Plan… more
- Sedgwick (Albany, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Sedgwick (Albany, NY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Sharecare (Albany, NY)
- …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is… more
- Molina Healthcare (Syracuse, NY)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
- Molina Healthcare (Rochester, NY)
- …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Sharecare (Albany, NY)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...during the training period will be evaluated on a case by case basis and must be… more
- Molina Healthcare (Rochester, NY)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or… more
- LIFEPlan CCO NY (Clifton Park, NY)
- …Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master's degree with ... Care Manager Job Details Level Experienced Job Location Clifton...preferred. Work with people with intellectual and/or developmental disabilities, case management, or in the Mental Health or Substance… more
- Centene Corporation (New York, NY)
- …and Certifications:** A license in one of the following is required: Licensed Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed ... Clinical Social Work/Counseling required OR Associate's degree and an RN with 3+ years of clinical experience. 3+ years...(LMHC), or Licensed Marital and Family Therapist (LMFT). Certified Case Manager (CCM) preferred.Pay Range: $55,100.00 -… more