- 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 ... outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day...State + Bachelor's degree + Five (5) years previous case management / discharge planning in an acute… 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
- 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
- Arnot Health (Elmira, NY)
- …$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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Nurse Case manager . The Nurse Case Manager reports to the Manager of Case Management . Responsible for developing and managing the case ... About The Role Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases...Management . * Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and… more
- Nuvance Health (Poughkeepsie, NY)
- …Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery ... physiological and economic perspectives. Has overall accountability for the utilization management and transition management ...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality...Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use… more
- WMCHealth (Suffern, NY)
- Case Manager (RN) Company: Good Samaritan Hospital City/State: Suffern, NY Category: Nursing/Nursing Management Department: Care Management Union: YES ... Applicant link Internal Applicant link Job Details: Summary: The Case Manager (RN) is responsible for implementing...for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity… more
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department may include the ... RN Case Manager **Position Summary** At Stony...following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The CARE Case Manager provides strengths-based assessment, intervention, and ... to success and to enhance their holistic well-being. The Case Manager exercises independent judgment while coordinating...Occasional evening and weekend hours. **ESSENTIAL FUNCTIONS** CARE Student Case Management + Maintain a caseload of… more