- Brighton Health Plan Solutions, LLC (New York, NY)
- …Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager ... program. Primary Responsibilities * Adheres to regulatory regulations (eg, ERISA, HIPAA) for Case Management and self-insured clients. * Uses clinical tools for… more
- MVP Health Care (Rochester, NY)
- Hospital Case Manager - Registered Nurse...clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2 ... improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you...+ Current New York State Licensure as a Registered Nurse required with at least 4 years of recent… more
- Nuvance Health (Poughkeepsie, NY)
- …through various affiliates, Position Summary: Under the general supervision of the Director, The Nurse Case Manager role provide clinically-based case ... stay and level of care using a combination of clinical information, clinical criteria, and third party...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …by collaborating with members of the interdisciplinary team. Responsibilities The Pulmonary Case Management (CM) Registered Nurse (RN) is responsible and ... experience, and creative approaches to management of complex client care. The Pulmonary Case Management (CM) Registered Nurse (RN) focus is on individual growth… more
- Albany Medical Center (Albany, NY)
- …of resources to achieve maximum clinical and financial outcomes. The Case Manager participates in maintaining quality care and performance improvement ... States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the...the hospital pre and post-op. b. Proactively monitor patients' clinical process through /patient care standards and evidence based… more
- Northwell Health (Staten Island, NY)
- **Req Number** 162425 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... medical necessity criteria + Submits data to management regarding case management and/or quality initiatives + Serves as an...and continued length of stay; Facilitates throughput + Conducts clinical reviews and interacts with third party payers to… more
- CVS Health (Albany, NY)
- …and unrestricted Registered Nurse (RN) licensure in the state of NY The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- CVS Health (Ridgewood, NY)
- …every day. **Position Summary** **This positions offers a $1,000 New Hire Bonus!** This Case Manager Registered Nurse position is with Aetna's Integrated ... care plans and adjust the care plan based on clinical judgement and member needs. Care managers coordinate and...with mental health and/or substance use disorders + Certified Case Manager Certification + Case … more
- Loretto Management Corporation (Syracuse, NY)
- …acts as a primary support to the Physician, Nurse Practitioner, Director of Clinical Services, and the Home Care Manager . Schedule: Monday - Friday 8:00am - ... growth and movement within 19 sites! Connect With Us! (https://careers-loretto2.icims.com/jobs/49971/registered- nurse %2c-home-care- case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834448097) ID2025-49971 Location : Address109… more
- Living Resources (Albany, NY)
- Registered Nurse - Case Manager ...regards to health and medical needs. + Coordinates with clinical consultants as needed. + Develops nursing care plans ... + NO Mandating + NO Weekends + NO Holidays Responsibilities The RN Case Manager provides direct and supportive health care management to individuals that reside… more
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