- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a variety of documents including, but not… more
- Trinity Health (Troy, NY)
- …are only a phone call away, and more! **Join us for a day and shadow an experienced RN Case Manager ! See why RNs who transition to home care love what they ... hour shifts!** + **Three 12 hour shifts!** Eddy Visiting Nurse & Rehab Association has a rewarding opportunity for...has a rewarding opportunity for a full time Specialty RN to join our team caring for patients in… more
- Molina Healthcare (NY)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- Immigration and Customs Enforcement (Batavia, NY)
- …preferred. Qualifications-Licenses and Certifications Required: Nursing License- Must be a Registered Nurse ( RN ). Maintains current/documented professional ... with the clinical director and health service administrator. This is a supervisory position. The nurse manager (Chief, Complex Unit) is stationed at a … more
- Select Medical (New York, NY)
- …**What we're looking for in a Clinical Account Manager ** **Required Skills:** + Registered Nurse ( RN ) or Respiratory Therapist (RT) License. + Will ... **Critical Illness Recovery Hospital (LTACH) - NYC Territory** **Clinical Account Manager ** **$10,000 Sign-on Bonus** Annual Salary Range: $75,000 - $110,000 plus… more
- Humana (Albany, NY)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... part of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation… more
- CenterLight Health System (Ridgewood, NY)
- …management systems License: Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: + Be legally authorized (for ... assessment, medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all Department of Health policies… more
- Trinity Health (Syracuse, NY)
- …various regulatory and professional agencies. Supervised By: + Registered Nurse , Team Leader, Clinical Coordinator, Unit Manager , and Clinical ... If you are looking for dynamic learning opportunities with complex medical treatments and continual advancements all while receiving...supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or… more
- Rochester Regional Health (Rochester, NY)
- …in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex clinical issues, system barriers, and ... Job Title: Care Facilitator Department: Case Management Location: Canton-Potsdam Hospital with floating to...Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Elevance Health (Middletown, NY)
- **Behavioral Health Care Manager II** **Shift:** Friday - Monday; 8:00am - 7:00pm EST - Schedule may flex based on business needs **Location:** Virtual; within 50 ... an accommodation is granted as required by law._ The **Behavioral Health Care Manager II** is responsible for managing psychiatric and substance abuse or substance… more