- aptihealth (Clifton Park, NY)
- …and collaboration + Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success ... and local/state/federal rules and regulations as directed by the Clinical Director. The RN Case Manager... Nurse in New York + Current Certified Case Manager (CCM) certification preferred + Experience… 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 ... criteria with third party payers (including onsite and telephonic Case Managers ) as well as Primary Care...cases are a priority and at a minimum the case manager reviews observation cases daily. 3.… more
- CVS Health (Albany, NY)
- …Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse (RN). Case Managers serve as dedicated advocates for members who are ... nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN** (Includes but is not...+ Develop and implement individualized care plans based on clinical findings and member goals. + Coordinate services across… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager ... Health and Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers,… 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
- Highmark Health (Albany, NY)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination team is hiring a Manager who is responsible for providing day to day management of the RN ... Care Managers in the department. Pay Range: $95,000 plus based...plus based on education and experience Schedule: Full-Time, 8:00am-4:30pm Manager , Care Coordination Responsibilities: + Manager is… more
- Immigration and Customs Enforcement (Batavia, NY)
- …Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report ... assessing clinical health outcomes quality measures; evaluating clinical case reviews for adequacy of care,...directly to the Regional Nurse Manager (RNM) with the Chief Nurse (CN)… more
- Northwell Health (Valley Stream, NY)
- …evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves as an in-patient liaison - ... and continued length of stay; Facilitates throughput. + Conducts clinical reviews and interacts with third party payers to...federal, and third party payer regulations. + Documents the case management process in the medical record; completes and… more
- OLV Human Services (Amherst, NY)
- …Responsible to: Director of Nursing Job Summary: The Clinical RN- OPWDD acts as a case manager and is an integral part of the treatment team who monitors and ... with developmental disabilities? Join our team at OLV Human Services as an RN Case Manager and play a critical role in supporting the health and well-being of… more