- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case management ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Guthrie (Corning, NY)
- …assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). ... of the hospital computer system as it relates to case management . Essential Functions: 1. Assists to...care needs. e) Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... more years of relevant experience. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Mohawk Valley Health System (Utica, NY)
- Transitional Care RN - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary The RN - Transitional Care Coordinator is responsible ... for assessing patients that are medically complex and at high risk for readmission to ensure...of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and… more
- Northwell Health (Lake Success, NY)
- **Req Number** 160822 Highly Preferred: Epic Case Management / Clindoc certification required Job Description Supports and enhances products on larger, more ... complex or multiple products for enterprise resource planning, budgeting,...the software and solution delivery lifecycle and hybrid project management methods. + Maintains direct responsibility for successful outcome… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About The Role Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager. The ... Case Manager reports to the Manager of Case Management . Responsible for developing and managing...* Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and evaluates alternative… more
- Molina Healthcare (NY)
- …is a fast-paced position and productivity is important. Prefer candidates that have previous case management experience in manage care, and that have a compact ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- American Arbitration Association (New York, NY)
- …policies, procedures, and practices. + Completes assigned tasks in online case management system, which includes capturing settlement agreements, inputting ... sensitive information + Intermediate proficiency with Microsoft Excel, Word, and web-based case management systems The American Arbitration Association is an… more
- American Arbitration Association (Buffalo, NY)
- …+ Maintains and updates case files, records, and documents in the online case management system (PRISM). + Ensures confidentiality of case information ... to parties, party attorneys, and arbitrators and mediators. + Proactively identifies case management issues and informs management ; takes appropriate… more