- Highmark Health (Albany, NY)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job has primary...regulatory agency requirements and applicable standards of practice for case management including those published by CMSA… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Case Manager coordinates,...is BSN prepared will be a leader in the Case Management practice. The Case Manager ... procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost,...the guidelines. ** 3. Identifies the appropriate patients for Case Management services. ** 4. Maintains a… more
- 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 ... 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
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description : Summary: Conducts case management...and supporting systems. + Expertise in Case Management area and able to handle complex ... case management , as outlined in the Case Management Program Description . Opens...improvement suggestions and participates in the solutions of more complex issues/activities. + Mentors junior staff and assists with… more
- American Arbitration Association (New York, NY)
- …contacting the Human Resources Department via email- [email protected] . Description Case Administrator, NYSI (2025-102) OVERVIEW Provides administrative support ... procedures, and practices. + Completes assigned tasks in online case management system, which includes capturing settlement...issues in a manner that fosters resolution and efficient management of cases; ensures that unresolved and complex… more
- International Rescue Committee (New York, NY)
- …child is released from custody into a sponsor's care (Home Study) + Provide case management support via remote and / or conducting in-home visits to ... New York, NY HQ USA Work Arrangement:Fully Remote Job Description This is a fully remote position. Candidates should...plan that guides the provision of high quality, trauma-informed case management services. + Conduct a comprehensive… more
- Community Health Action of Staten Island (Staten Island, NY)
- …partners. + Collect and submit data. Collect and submit data. Document all case management activities in accordance with guidelines and standard procedures. + ... NY (http://maps.google.com/maps?q=126+Stuyvesant+Place+Staten+Island+NY+USA+10301) * Prevention & Intervention Job Type Full-time Description Title: Intensive Case Manager Department: Prevention… more
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