- Guthrie (Binghamton, NY)
- …and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care ... On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for..., utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Arnot Health (Elmira, NY)
- …improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for utilization management ... to the guidelines. . Identifies the appropriate patients for Case Management services. . Maintains a working...and participates in them. . The Case Manager tracks and trends LOS , resource utilization… more
- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position Type Full-Time Work Arrangement Onsite ID 2025-6210 more
- Rochester Regional Health (Rochester, NY)
- …clinical problem solving. REQUIRED QUALIFICATIONS: + 3 years of acute hospital care, Case Management and/or Utilization Management experience + ... Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital...party payer and/or managed care payment principles helpful + Case Management Certification + At least 3… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management PT Days** The Case Manager (CM) will be responsible for all aspects of case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ...patients where utilization review, discharge planning, and/or case management will be needed using standardized… more
- Northwell Health (Staten Island, NY)
- …another level of care according to regulatory standards. + * Performs concurrent utilization management using Interqual criteria. + Conducts chart review for ... of patient care outcomes. + Submits data to management regarding case management and/or... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
- Healthfirst (NY)
- …operational discipline and capacity for executive-level decision-making + Experience working as a case manager for a long-term care programs such as PACE, MAP ... to maintain and improve department performance + Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement + Lead… more
- Catholic Health (Kenmore, NY)
- …NYS RN license + Holds, or will obtain within one year of hire, Certified Case Manager (CCM) + Certification in a Nationally Recognized Utilization Review ... working in an Acute Care Hospital Setting + Proficiency in utilization management and regulatory requirements preferred + Experience in working with people… more
- Albany Medical Center (Albany, NY)
- …of clinical experience in an assigned service - required + Recent experience in case management , utilization management and/or discharge planning/home ... States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the...with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use… more
- Ellis Medicine (Schenectady, NY)
- …by the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration with physicians and social ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for case management...inpatient experience in a hospital environment preferred. + Previous case management , utilization review, and… more